近5年我国冠心病中医证型地域分布规律研究

Study on Regional Distribution of TCM Syndromes of Coronary Heart Disease in Recent 5 Years in China

目的：分析研究近5年全国各大地区冠心病中医辨证分型的分布规律。方法：检索2011年9月—2016年9月发表的有关冠心病的中医药研究文献,建立相关数据库,运用SPSS 17.0软件进行统计分析。结果：29257例冠心病患者的中医证型分布排名为：气虚血瘀证〉心血瘀阻证〉痰阻心脉证〉气阴两虚证〉痰瘀互阻证〉气滞血瘀证〉阴寒凝滞证〉心肾阴虚证=心肾阳虚证〉阳气虚衰证。各地区证型分布为：东北地区气虚血瘀证和痰瘀互阻证多见;华北、华东、华中和西南地区气虚血瘀证和心血瘀阻证多见;华南地区痰阻心脉证和阴寒凝滞证多见;西北地区气虚血瘀证和痰阻心脉证多见。结论：近5年全国冠心病的中医证型多见于气虚血瘀、心血瘀阻、痰阻心脉证。该研究结果对临床冠心病的中医辨证论治有一定的指导意义,但仍需更大样本更长时间的临床研究,不断完善冠心病的中医临床辨证论治体系。

Objective： To study the distribution of TCM syndrome differentiation of coronary heart disease in recent 5 years.Methods： We searched the literature of Chinese medicine on coronary heart disease（ CHD） published from September 2011 to September 2016 and then set up the relevant database,and used SPSS 17. 0 software for statistical analysis. Results： TCM syndromes of 29257 cases of patients with coronary heart disease included Qi deficiency and blood stasis,blood stasis,syndrome of phlegm blocking heart meridian,both Qi and Yin deficiency syndrome,phlegm and blood stasis,Qi stagnation and blood stasis,stagnation of cold,heart and kidney Yin deficiency of heart and kidney Yang deficiency syndrome,Yang Qi deficiency syndrome. The syndromes distribution： qi deficiency and blood stasis syndrome and phlegm and blood stasis syndrome are more common in Northeast China. In North China,East China,central China and Southwest China,qi deficiency and blood stasis syndrome and blood stasis syndrome are more common. In Southern China area,syndrome of phlegm blocking heart meridian and stagnation of Yin syndrome are more common. Qi deficiency and blood stasis syndrome and phlegm blocking heart meridian syndrome are more common in Northwest China. Conclusion： TCM syndrome types of coronary heart disease in recent 5 years include Qi deficiency and blood stasis,blood stasis,syndrome of phlegm blocking heart meridians. The results of the study on TCM clinical treatment of coronary heart disease have a certain guiding significance for clinical research but still need more samples for longer periods of time,and constantly improve the TCM clinical diagnosis and treatment system of coronary heart disease.