| 郝学增,张立晶,张 为,赵怀兵,刘玉庆,郑相颖,王 显.冠心病合并糖尿病PCI术后胸痹患者中医证型分布及影响因素调查研究[J].,2017,17(5):874-877 |
| 冠心病合并糖尿病PCI术后胸痹患者中医证型分布及影响因素调查研究 |
| Study on the Distribution of TCM Syndrome of Chest Stuffiness Patients with Coronary Heart Disease with Diabetes after PCI and Its Influence Factors |
| 投稿时间：2016-11-12 修订日期：2016-12-07 |
| DOI：10.13241/j.cnki.pmb.2017.05.018 |
| 中文关键词: 冠心病合并糖尿病 PCI 胸痹 证型分布 |
| 英文关键词: Coronary heart disease with diabetes PCI Chest stuffiness Syndrome distribution |
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| 中文摘要: |
| 摘要 目的：探讨冠心病合并糖尿病经皮冠状动脉介入（PCI）术后胸痹患者中医证型的分布情况,分析不同证型与影响因素关系。方法：收集2010年3月-2015年3月东直门医院心内科收治的105例冠心病合并糖尿病PCI术后胸痹患者的调查资料，根据中医辨证标准分为气阴两虚、气虚血瘀、气虚痰浊、阳虚气虚、痰浊血瘀、气滞血瘀、阴阳两虚7个证型，分析冠心病合并糖尿病PCI术后胸痹患者的中医证型分布规律及其相关影响因素研究。结果：气阴两虚证有36例（34.29%），其次是气虚血瘀证22例（20.95%）、气滞血瘀证14例（13.33%）、阳虚气虚证10例（9.52%）、痰浊血瘀证9例（8.57%）、气虚痰浊证8例（7.62%）、阴阳两虚证6例（5.71%），气阴两虚证占有比例明显高于其余证型，患者性别、年龄对证型分布无统计学意义（P＞0.05）；气阴两虚证患者吸烟量、饮酒量明显高于其余证型(P＜0.05)；气滞血瘀证患者离异情况明显多于其余各证型(P＜0.05)。结论：冠心病合并糖尿病PCI术后胸痹患者的主要证候类型为气阴两虚证，且患者饮酒及吸烟量越大,气阴两虚证越明显，而家庭婚姻离异的患者,则多见气滞血瘀证。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate the distribution of TCM Syndrome of chest stuffiness patients with coronary heart disease with diabetes after PCI, and analyze the relationship between different syndrome types and influencing factors. Methods: The investiga- tion data of 105 patients with coronary heart disease with diabetes after PCI who were treated in Cardiology Department of Dongzhimen hospital from March 2010 to March 2015 were collected, according to TCM standards are divided into 7 syndrome types: Qi-Yin defi- ciency, Qi deficiency and blood stasis, Qi deficiency and phlegm turbidity, Yang Qi deficiency, Turbid phlegm and blood stasis, Qi stag- nation and blood stasis, Yin-yang deficiency. Analyzed the relationship between the distribution of TCM Syndrome of chest stuffiness pa- tients with coronary heart disease with diabetes after PCI and related factors. Results: Qi-Yin deficiency was 36 cases(34.29%), Qi defi- ciency and blood stasis was 22 cases(20.95%), Qi stagnation and blood stasis was 14 cases(13.33%),Yang Qi deficiency was 10 cases(9.52%), Turbid phlegm and blood stasis was 9 cases(8.57%), Qi deficiency and phlegm turbidity was 8 cases (7.62%), Yin-yang defi- ciency was 6 cases(5.71%), Qi-Yin deficiency was significantly higher than the rest occupy syndromes, Gender and age of the patients with the TCM syndrome distribution was not statistically significant(P>0.05); The amount of smoking and alcohol consumption in the Qi Yin deficiency syndrome were significantly higher than the other syndromes(P<0.05); Divorce of Qi stagnation and blood stasis was ob- viously more than the rest of the divorce certificate type(P<0.05). Conclusion: The main syndrome types of patients with coronary heart disease with diabetes after PCI were Qi-Yin deficiency, and patients with drinking and smoking quantity is larger,the deficiency of Qi-Yin defi- ciency are more obvious, and patients with family and marital separation with more common in Qi stagnation and blood stasis. |
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