中医体质与急性心肌梗死及其危险因素的相关性研究

Study on the correlation between constitution of traditional Chinese medicine and acute myocardial infarction and its risk factors

目的:探究中医体质与急性心肌梗死及其危险因素的相关性。方法:采用随机抽样调查法,对就诊于辽宁中医药大学附属医院的急性心肌梗死患者及其于辽宁省康复中心体检者进行面对面问卷调查,以130例急性心肌梗死患者作为病例组,以129例具有常见心血管病危险因素的患者作为对照组1;以132例健康人作为对照组2;观察三组人群中医体质分布情况并探究中医体质与急性心肌梗死及其危险因素的相关性。结果:三组间体质类别分布存在明显差异(P<0.05),有统计学意义。结论:气郁质、痰湿质、脾虚质在AMI人群中占比较高,可能与AMI形成关系密切,但对比危险因素组与健康组,发现其中气郁质在危险因素组占比高,表明气郁质与常见心血管危险因素亦关系密切,故而,气郁质有很大可能是因为影响心血管常见危险因素而促进AMI的形成或发展;而脾虚质、痰湿质不一定影响心血管常见危险因素,可能通过其他各个方面的原因影响AMI的形成与发展。

Objective:To explore the relationship between constitution of traditional Chinese medicine and acute myocardial infarction and its risk factors. Methods:The patients with acute myocardial infarction who visited the affiliated hospital of Liaoning university of traditional Chinese medicine and their physical examinees at the rehabilitation center of Liaoning province were investigated with face-to-face questionnaires. 130 patients with acute myocardial infarction were selected as the case group and 129 patients with common cardiovascular risk factors were selected as the control group 1. 132 healthy people were selected as control group 2. To observe the distribution of constitution of traditional Chinese medicine among the three groups and explore the correlation between constitution of traditional Chinese medicine and acute myocardial infarction and its risk factors. Results:There were significant differences in the distribution of physical types among the three groups ( P <0.05 ),with statistical significance. Conclusion:Qi depression,phlegm dampness and spleen deficiency are relatively high in ami population,which may be closely related to the formation of ami. However,comparing the risk factor group with the health group,it is found that the proportion of qi depression in the risk factor group is high,which indicates that qi depression is also closely related to common cardiovascular risk factors. Therefore,qi depression is likely to promote the formation or development of ami because it affects common cardiovascular risk factors. However,spleen deficiency and phlegm dampness do not necessarily affect common cardiovascular risk factors,and may affect the formation and development of ami through other factors.