心力衰竭中医证候特征的临床横断面调查

Clinical Cross-sectional Survey for the Traditional Chinese Medicine Syndrome Characteristics of Heart Failure

目的:对心力衰竭中医证候特征进行临床横断面流行病学调查。方法:通过采集慢性心力衰竭患者的中医四诊信息,对患者进行规范中医辨证,在病证结合理论指导下,探讨心力衰竭中医证候分布的流行病学规律。结果:虚性证候要素以气虚为首,阴、阳虚为辅,血虚少见,实性证候要素以血瘀、水停居多,痰浊、气滞少见;证候类型以虚实夹杂为多见,最常见的证候类型包括气虚血瘀、气阴两虚、气阴两虚兼血瘀、气阳两虚兼血瘀、气阳两虚兼血瘀水停、气阳两虚。结论:本研究通过对心力衰竭患者的临床调查,探索了该病的中医证候分布特征,对于心力衰竭的中医临床辨治具有一定的参考价值与意义。

Objective：To have a cross-sectional epidemiology survey for the traditional Chinese medicine（TCM）syndrome characteristics of heart failure（HF）.Methods：Through the acquisition of TCM diagnostic information of HF patients,to explore the epidemiology characteristics of TCM syndrome distribution of HF.Results：Among the deficient syndrome elements,qi deficiency is the main element.Blood stasis and water retention are the main elements in excess syndrome elements.The main syndrome types include qi deficiency and blood stasis,qi and yin deficiency,qi and yin deficiency and blood stasis,qi and yang deficiency and blood stasis,qi and yang deficiency and blood stasis and water retention,qi and yang deficiency.dConclusion：The clinical survey,which explores the TCM syndrome characteristics of HF,has a certain reference value and significance for TCM clinical diagnosis and treatment of the disease.