102例冠心病心绞痛患者中医证候特征分析

Analysis on Pattern Characteristic of 102 Cases of Angina Pectoris

目的研究冠心病心绞痛患者的中医证候学特点。方法用临床流行病学方法调研经冠脉造影证实的不稳定心绞痛患者。然后用SAS软件中的多元对应相关统计学方法进行分析。结果冠脉造影无病变组与中医证型密切相关的先后顺序为气滞>气虚>气阴两虚>血瘀;单支病变组与中医证型密切相关的先后顺序为血瘀>气虚>痰浊>阴虚;双支病变组与中医证型密切相关的先后顺序为阴虚>痰浊>血瘀>气虚;三支病变组与中医证型密切相关的先后顺序为阳虚寒凝>阴虚>痰浊>血瘀。冠脉不同病变支数的证型相兼分布差异也有显著性意义(P<0.01)。结论冠脉造影无病变的患者与中医的肝郁气滞相关性强,而随着冠脉病变支数的增加,痰浊证、血瘀证和阴虚证与冠脉病变程度的相关性越来越强。

Objective To study the pattern characteristic of angina pectoris patients. Methods Clinical epidemiological method was used to investigate unstable angina pectoris patients confirmed by eoronary arteriongraphy. Mulity corresponding related analytical method in SAS was used. Results The sequence related to patterns in nonmorbid group was.qi stagnation〉qi deficiency〉dual deficiency of qi and yin〉blood stasis; the sequence in single ramus morbid group was ：blood stasis〉qi deficiency〉phlegm turbidity〉yin deficiency; the sequence in duel rami morbid group was：yin deficiency〉phlegm turbidity〉blood stasis〉qi deficiency; the sequency in trirami morbid group was：yang deficiency and congealing cold〉yin deficiency〉phlegm turbidity〉blood stasis. There was significant difference in distribution of combination pattern among different ramus morbid （P〈 0. 01）. Conclusion There is close relation between liver depression qi stagnation and nonmorbid by coronary arteriongraphy. As the amount of morbid rami increasing,the relation between phlegm turbidity ,blood stasis ,yin deficiency and morbid degree of coronary artery become closer.