不同证型急性心肌梗死日发病的五脏主时节律研究

Study on the Rhythm of Five Viscera Mastering in the AMI Onset with Different TCM Syndromes

目的研究不同中医证型急性心肌梗死(AMI)日发病时间与五脏主时节律的关系。方法对155例AMI患者进行问卷调查,并辨证分型,从中医时间医学的角度探究AMI的日发病节律。结果12月至翌年4月AMI中,AMI中实证显著多于虚证,实证、虚证、虚实夹杂证AMI发病高峰分别在下晡、日中、平旦;AMI中痰瘀证多于非痰瘀证,痰瘀证、非痰瘀证AMI发病高峰分别在下晡、日中,夜半时段痰瘀证AMI发生率高于非痰瘀证。结论AMI发病具有一定的时间节律,12月至翌年4月不同中医证型AMI发病高峰与五脏主时有一定关系。

Objective： To research the relationship between the time rhythm of five viscera mastering and the onset time rhythm of the AMI with different TCM syndromes. Methods： After questionnaire investigation, 155 patients were given TCM syndromes differentiations. Their informations were used to research the AMI onest rhythm from the theory of TCM time medicine. Results： From December to April next year, excess syndromes of AMI were much more than deficiency syndromes. The onest times of excess syndromes, deficiency syndromes, deficiency and excess syndromes was respectively Xiabu, Rizhong and Pingdan. The phlegm and blood stasis syndrome of AMI was more than those which are not syndrome of phlegm or blood stasis. The peak-time of AMI with phlegm and blood stasis syndrome and without syndrome of phlegm or blood stasis syndrome is respectively in Xiabu and Rizhong. In Yeban, AMI patients of phlegm and blood stasis syndrome are more than those without phlegm or blood stasis syndrome. Conclusion： The onest of AMI is a certain time rhythm. From December to April next year, the peak-times of different TCM syndromes in AMI have relationships to the five viscera mastering.