急性心肌梗死患者中医证候要素不同性别分布特征分析

Analysis on distribution of syndrome elements of traditional Chinese medicine in patients in different genders with acute myocardial infarction

[目的]研究急性心肌梗死(AMI)患者不同性别的证候要素分布特征。[方法]将2010年6月—2012年12月确诊为AMI于天津中医药大学第一附属医院住院的65例女性患者作为女性心梗组,选取同期住院诊断为AMI的68例男性患者作为男性心梗组。采用证候要素辨证方法进行分析,运用频数统计进行数据处理,将女性心梗组的中医证素与男性心梗组的证素分布进行对比分析。[结果]提取证候要素8种,两组的中医证素分布均以血瘀、气虚为多见,女性心梗组阴虚比例高于男性心梗组(P<0.05),男性心梗组痰浊、阳虚比例高于女性心梗组(P<0.05)。[结论]AMI患者不同性别的中医证素分布有其独特性,但还需大样本量的研究进一步证实。

[Objective] To analyze the distribution of traditional Chinese medicine （TCM）syndrome elements of patients in different gen ders suffered from acute myocardial infarction （AMI）. [Methods] The distributions of TCM syndrome elements were compared between 65 women and 68 men with AMI. All the patients were admitted to hospital from June, 2010 to December, 2012. The data between two groups were analyzed and compared with syndrome elements differentiation methods and the data were processed with frequency statistics method. [Results] Eight syndrome elements were collected, and the most frequent elements of women with AM1 were blood stasis, Qi defi ciency and Yin deficiency. The proportion of Yin deficiency in female group with AMI was higher than male group （P〈0.05）. The inci dence of phlegm and Yang deficiency in male group with AMI were more frequent than female group（P〈0.05）. [Conclusion] The distri bution of TCM syndrome elements in patients of different genders with AMI has its own characteristics, but a researches with large scale are needed to confirm this results.