西北燥证与新疆不同民族冠状动脉粥样硬化性心脏病中医体质相关性

Correlation between northwest dryness syndrome and body constitution classification of coronary heart disease in different nationality groups in Xinjiang

目的:比较新疆维、汉、哈族冠状动脉粥样硬化性心脏病(冠心病)患者中医体质差异,进一步探讨新疆维、汉、哈族罹患西北燥证冠心病患者与非罹患西北燥证冠心病患者中医体质的异同;探寻西北燥证与新疆汉、维、哈不同民族冠心病发病、病理变化及预后的内在关系。方法:制定调查表,运用横断面调查的方法收集2015年12月至2016年12月在新疆医科大学附属中医医院以冠心病为第一诊断且西医确诊的冠心病和中医诊断为胸痹的住院患者例850例,健康人群100例。采用标准化的9种中医体质量表分析冠心病患者中医体质特点,比较罹患与非罹患西北燥证中医体质的异同。结果:分析850例冠心病患者体质与燥证的关系发现,阳虚质、阴虚质、气虚质、痰湿质、血瘀质、平和质西北燥证的患病率差异有统计学意义(P=0.015);不同性别、年龄、民族、饮食习惯、居住环境、生化检查与燥证的患病率关系,差异有统计学意义(P<0.05);分析100名健康体检人群与850例冠心病患者中医体质、西北燥证与冠心病的关系,差异有统计学意义(P<0.001)。结论:新疆不同民族冠心病患者中医体质具有差异,维吾尔族阳虚、阴虚体质明显多于汉族与哈萨克族,汉族、哈萨克族平和质多于维吾尔族;西北燥证和体质在冠心病的发生、发展中存在着某种相关性。

Objective: Comparing Uygur, Han and Kazak patients with coronary heart disease of body constitution classification(BCC) syndrome type difference, to further explore the differences of the BCC syndrome type between Xinjiang Uygur, Han and Kazak patients had coronary heart disease with the northwest dryness syndrome(NDS), and who without NDS;To explore the relationship between the incidence of coronary heart disease, pathological changes and prognosis in the NDS and the different nationalities of Xinjiang(Uygur, Han and Kazak). Methods: A questionnaire was made and a cross-sectional survey was used to collect 850 hospitalized patients with coronary heart disease diagnosed by western medicine and chest bi diagnosed by Traditional Chinese Medical Hospital of Xinjiang Uygur Autonomous Region from December 2015 to December 2016, and 100 healthy people. The characteristics of TCM constitution of patients with coronary heart disease were analyzed with 9 standardized TCM constitution scales, and the differences and similarities of TCM constitution of patients with and without northwest dryness syndrome were compared. Results: Analysis of the relationship between the constitution of 850 patients with coronary heart disease and dryness syndrome showed that the prevalence difference of dryness syndrome among the six groups(yang deficiency, yin deficiency, qi deficiency, phlegm dampness, blood stasis, gentleness, the rest belonged to the mixed constitution) was statistically significant(P=0.015). The relationship between the prevalence of dryness syndrome and different gender, age, ethnic group, dietary habits, living environment, biochemical examination was statistically significant(P<0.05). Analysis of the relationship between coronary heart disease and dryness syndrome in the population showed no statistical difference in the prevalence of dryness syndrome among each group. Analysis of 100 cases of healthy people and 850 cases of coronary heart disease in BCC, dryness syndrome and coronary heart disease(P<0.001), which showed that difference was statistically significant. Conclusion: The study finds that the differences between Xinjiang Uygur, Han and Kazak patients with CHD have different BCC;Uygur Yang deficiency, yin deficiency constitution significantly more than the Han and Kazak, Han and Kazak with gentleness more than Uygur. It is suggested that there is a correlation between dryness syndrome and constitution in the occurrence and development of coronary heart disease.