冠心病室性心律失常的中医证候分布规律临床观察

Clinical Observation of Coronary Heart Disease Ventricular Arrhythmia Distributing Rule of TCM Syndrome-types

目的:研究冠心病室性心律失常临床特点的中医证候分布规律。方法:采用回顾性临床研究方法,根据相关标准制定临床观察表,采纳广东省中医院住院并确诊冠心病室性心律失常的病人292例,记录其性别、年龄、病程、冠心病类型、合并危险因素、冠状动脉病变情况以及主要临床症状,根据临床症状判别其中医证型。结果:中医辨证分型从多至少排列如下:痰浊阻滞(32.5%)>血瘀气滞(27.4%)>心脾两虚(13.4%)>肝肾亏虚(11.6%)>水饮凌心(8.2%)>心阳不振(6.8%)。结论:冠心病室性心律失常病因是以痰邪为主,痰浊、血瘀、气滞是冠心病室性心律失常的主要病机。

Objective ：To investigate the distributing rule of TCM Syndrome - types clinical characteristic of coronary heart disease（CHD） ventricular arrhythmia. Method ：Through retrospective investigation and clinical diagnoses technique, basing on correlative standard, constituted the clinical observe table. Adopted a total of 292 patients from Guangdong Province TCM Hospital,being in hospital from Jan, 2003 to Mar,2007, which diagnozed as CHD ventricular arrhythmia. These patients were noted age, sex, course of diseases, type of CHD, united danger fator, coronary artery pathological instant and primary clinical symptom. Base on clinical symptom, distinguished its Syndrome - types. Result ： The rates of TCM Syndrome - types arranged as follow ： Phlegm - Turbid Syndrome （ 32.5% ） 〉 Blood - Qi - Stasis Syndrome （ 27.4% ） 〉 Heart - Spleen - Deficiency Syndrome （ 13. 4% ） 〉 Liver - Kidney - Deficiency Syndrome （ 11.6 ） 〉 Water - Insult - Heart Syndrome （ 8.2% ） 〉 Yang - Deficiency Syndrome （6.8%）. Conclusion ：The pathogeny of CHD ventricular arrhythmia was mainly of Phlegm. Phlegm - Turbid, Blood - Stasis, Qi - Stasis were the primary pathogenesises of CHD ventricnlar arrhythmia.