冠心病危险因素与中医证型相关性分析

Analysis of correlation between risk factors of coronary heart disease and TCM patterns

目的探讨冠心病危险因素与中医证型的关系,寻求辨证客观化指标。方法选取我科2006年1月至2006年12月经冠状动脉造影确诊的252例冠心病患者,术前填写"冠心病调查表"及行各项化验检查,对比分析冠心病危险因素和中医证型的关系。结果冠心病患者在中医证型上阴寒凝滞型23例(9.1%)、痰浊闭阻型59例(23.4%)、气滞血瘀型63例(25.0%)、心肾阴虚型36例(14.3%)、气阴两虚型34例(13.5%)、阳气虚衰型37例(14.7%)。性别、年龄分组、体重指数、文化程度、有无吸烟在中医证型上存在明显差异(P<0.01);性别、年龄分组、体重指数、文化程度、有无吸烟与中医证型存在相关性(P<0.01),体重指数、文化程度呈负相关,其他呈正相关。结论冠心病危险因素与中医证型存在一定相关性。

AimsTo discuss relationship between risk factors of coronary heart disease and TCM patterns, and seek objective indexes of syndrome differentiation. Methods 252 patients who were diagnosed as coronary heart disease by coronary angiogram between January 2006 and December 2006 were chosen to be subjects. They filled out coronary heart disease questionnaire and all kinds of laboratory examinations were checked. Risk factors of coronary heart disease and TCM patterns were compared. Results Among those 252 patients, there are 23 pertaining to stagnation of Yin cold （9.1% ） ,59 obstruction of turbid phlegm （23.4 % ）, 63 Qi stagnation and blood stasis（25.0 % ） ,36 both kidney and heart Yin deficiency（ 14.3 % ） ,34 both Qi and Yin deficiency（ 13.5 % ） ,37 Yang deficiency（ 14.7 % ）. There is obvious statistic difference of TCM patterns between gender, age, body weight index, education degree, and smoking history. （ P 〈 0. 01 ）. There is correlation between TCM patterns and gender, age, body weight index, education degree, and smoking history （ P 〈 0.01 ）, among which there is negative correlation of body weight index and edneation degree, positive correlation of the rest. Conclusion There is certain correlation between risk factors of coronary heart disease and TCM patterns.