138例冠心病患者的证候分布与组合特点分析

Analysis on the Combination Characteristics of TCM Syndromes of 138 Cases with Coronary Heart Disease

目的探讨冠心病证候分布特点及基本病机。方法168例住院患者均进行冠状动脉造影,完成病史、中医证候的采集,作出冠心病或非冠心病诊断并进行辨证分型。结果138例冠心病以血瘀证(92.0%)和气虚证(81.9%)最为多见,且两者出现比例明显高于非冠心病组(P<0.05);心绞痛组与急性心肌梗死组各中医证候构成比之间差异无显著性意义(P>0.05);冠心病证候以三证组合最多,气虚血瘀证为其基本证候组合。结论气虚、血瘀是冠心病患者的基本证候特点,并且以其组合为基本证候组合形式。

Objective To study the TCM syndrome characteristics and pathogenesis of coronary heart disease. Methods The 168 in-patients were examined by coronary arteriography and the syndrome differentiation was made for diagnosis of coronary heart disease or not. Results Of the 138 patients of coronary heart disease, the blood stasis syndrome （92. 0%） and qi deficiency syndrome （81.9%） were most common, and their existing rate was obviously higher than that of the non-coronary heart disease group （P〈0. 05）. There was no significant difference in the composition of TCM syndromes in the angina group and acute myocardial infarction group （P〉0. 05）. Coronary heart disease took the combination of three syndromes as the most common pathologic condition, while qi deficiency and blood stasis were the basic combination of syndromes. Conclusion Qi deficiency and blood stasis are the basic pathogenesis of coronary heart disease.