福州地区507例汉族冠心病患者中医证型分布规律研究

Study on Chinese Medical Syndrome Distribution Laws in 507 Coronary Heart Disease Patients of the Han Nationality in Fuzhou City

目的探讨福州地区汉族人群冠心病患者中医证型的分布规律。方法对来自全市不同区域的507例汉族冠心病确诊患者进行中医证型辨证及问卷调查,对证型分布规律,证型与合并症、性别、年龄及体重指数等进行相关性分析。结果从标实或本虚证候要素看,福州地区507例汉族人群冠心病患者以血瘀最常见,占63.1%,其次为气虚(59.4%)和痰浊(45.6%);各证型中,气虚血瘀证最多,占12.2%,其次为气虚血瘀痰浊证(9.1%)、气虚痰浊证(8.1%)。中医证型在不同年龄上的分布差异有统计学意义(P<0.05),在不同性别、体重指数和合并症之间无明显差别(P>0.05)。结论血虚、气虚、痰浊是福州地区507例汉族冠心病患者的基本病机,气虚、血瘀与痰浊相互夹杂的证型是其主要中医组合证型,证型组合呈现一定规律性。

Objective To explore Chinese medical syndrome distribution laws in coronary heart disease（CHD） patients of the Han nationality in Fuzhou city.Methods A questionnaire on Chinese medical syndrome was carried out in 507 patients with confirmed CHD from different regions of Fuzhou city.The correlation analyses of Chinese medical syndrome distribution laws,the Chinese medical syndrome types and complications,gender,age,the body mass index（BMI） were conducted.Results Viewed from elements of deficiency in origin or excess in superficiality,blood stasis syndrome was the most often seen syndrome in patients with CHD（accounting for 63.1%）,followed by qi deficiency syndrome（accounting for 59.4%） and phlegm turbidity syndrome（accounting for 45.6%）.Among syndrome types,qi deficiency blood stasis syndrome was the most often seen syndrome（accounting for 12.2%）,followed by qi deficiency,blood stasis and phlegm turbidity syndrome（accounting for 9.1%）,and qi deficiency and phlegm turbidity syndrome（accounting for 8.1%）.The distribution of various Chinese medical syndrome types showed significant difference in different ages（P0.05）,but no obvious difference was shown in different genders,body mass index,or complications（P0.05）.Conclusions Blood stasis,qi deficiency,and phlegm turbidity were the basic pathogeneses of CHD patients of the Han nationality in Fuzhou city.Syndrome with intermingled blood stasis,qi deficiency,and phlegm turbidity was the main Chinese medical syndrome pattern.The combination of syndrome showed certain regularity.