基于有无痛胸分型的胸痹脉象中医客观化研究

TCM Objective Study on Pulse Manifestation of Thoracic Obstruction Based on whether Chest Pain Exists

目的:胸痹临床辨证分型种类复杂,拟以有无胸痛作为胸痹临床分型的依据,对其临床的脉象客观化指标进行研究分析,从其脉象指标的差异性为切入点从中医角度进行分析,并试讨论胸痹以有无胸痛分型的可能性,为临床胸痹辨证分型诊断提供新思路,为胸痹舌象客观化研究提供基础。方法:临床采集胸痹患者脉象客观化指标,分有痛胸痹组及无痛胸痹组并进行T检验。结果:胸痛组与无痛组右手脉象指标的检验结果显示,在rate、t1、h1、h3、h4、u、p七项指标中具有显著差异;胸痛组与无痛组左手脉象指标的检验结果显示,在rate、t4、t5、h1、h3、h4、p七项指标具有显著差异。结论:胸痹以有无胸痛为诊断指标的分型方法能够有效体现胸痹疾病过程中的气血阴阳虚实的变化,在脉象客观化指标上有着显著差异,具有临床意义。

Objective ： Clinical syndrome of thoracic obstruction （Xiong Bi） is complicated, this study is trying / analyze the objective clinical indicators of pulse witli or witliout chest pain as the classification basis of tlio- racic obstruction. It provided a new idea for the syndrome classification of tliis disease and provided research foundation of objective pulse diagnosis. Methods： Patients with chest pain and withougroups, at tiie same time, the objective pulse manifestations were collected for T test. Results： There were sig-nificant diferences in rate, / , h i , h3 , h4, u , and p between the two groups in terms hand, and there were significant diferences in rate, t4 , t5 , h i , h3 , h4 between the two groups in terms of the pulse of left hand. Conclusion： Chest pain as the diagnostic index can effectively reflect the changes of Qi and blood, changes of yin and yang during the course of tlioracic obstruction, which is also significant in theobjectification of pulse manifestation.