病毒性心肌炎中医证候的回顾性研究

A Retrospective Study of the TCM Syndromes of Viral Myocarditis

目的:探讨病毒性心肌炎中医证候分布特点。方法:回顾性分析病毒性心肌炎患者入院时的临床资料,并建立数据库,对数据进行描述性统计分析和多元统计分析。结果:病毒性心肌炎中医证候诊断以热毒证、气阴两虚证常见。其中热毒证的分布特点为:1儿童阶段高于成人,随着年龄的增长呈下降趋势。2多见于急性期患者,且随着病程的延长呈下降趋势。气阴两虚证的分布特点为:1成人较多见,且随年龄的增长呈上升趋势。2多见于慢性期、恢复期的患者。结论:病毒性心肌炎热毒证多见于急性期患者,且儿童较为多见,气阴两虚证多见于慢性期和恢复期的患者,且成人较为多见。

Objective ： To explore the TCM Syndromes of viral myocarditis. Methods ： The clinical data of viral myocarditis inpatients which has been established database are retrospectively analyzed by descriptive statistic analysis and multivariate statistical analysis. Results ： TCM syndromes are mainly of Heat toxin syndrome and syndrome of deficiency of both Qi and Yin. Children with Heat-toxin syndrome have higher morbidity than adults, and the acute phase is higher too. The rate of Heat-toxin syndrome shows a decrease trend with increasing age and the disease development. Adults with the syndrome of deficiency of both Qi and Yin have higher morbidity, the convalescent stage and the chronic phase are higher too. The rate the syndrome of deficiency of both Qi and Yin shows a growth trend with age. Conclusion： The rate of Heat toxin syndrome is higher during the acute phase, and children too. The rate of the syndrome of deficiency of both Qi and Yin is higher during the convalescent stage and the chronic phase, and adults too.