冠心病心绞痛血瘀气滞证的临床回顾性研究

Clinical retrospective study of blood stasis and qi stagnation syndrome for angina pectoris

目的:通过临床回顾研究,探索冠心病心绞痛血瘀气滞证的证候分布特点,为建立证候宏观诊断标准提供依据。方法:以山东省2家三级甲等医院近5年收治的1 033例冠心病心绞痛病历资料为研究对象,筛选出71例冠心病心绞痛血瘀气滞证病历,以中医证型和四诊信息为切入点,运用频数统计和因子分析方法探讨其临床证候分布和证候特点。结果:冠心病心绞痛血瘀气滞证71例占总调查病例数的6.87%,血瘀气滞证典型证20例占71例的28.2%,血瘀气滞证复合证型51例占71.8%。探索性因子分析共提取了4个公因子,分别为痰湿、气虚+气滞、血瘀、血虚+气虚。结论:临床冠心病心绞痛血瘀气滞证的典型证较少,在住院患者中大多以复合证候的形式出现,而最常见的兼夹证为痰湿和气虚。本研究提出了冠心病心绞痛血瘀气滞证的证候特点,这对临床鉴别诊断,提高临床疗效具有重要意义。

Objective：To study the distribution characteristics of blood stasis and qi stagnation syndrome for angina pectoris in order to provide evidence for establishing its diagnostic criteria.Methods：The distribution characteristics of blood stasis and qi stagnation syndrome for angina pectoris were analyzed by using 71 cases from 1033 the medical records of two hospitals during five years.Results：The number of cases of blood stasis and qi stagnation syndrome for angina pectoris accounted for 6.87% of the total number,the typical syndromes accounted for 28.2% of 71 cases.The compound syndromes accounted for 71.8%,and four common factors were extracted.Conclusion：Most of blood stasis and qi stagnation syndrome for angina pectoris are compound ones.Phlegm-dampness and qi deficiency are main concomitant syndromes of blood stasis and qi stagnation syndrome.This study proposes the characteristics of blood stasis and qi stagnation syndrome which is important to clinical differential diagnosis and to improve the clinical efficacy.