摘要
目的通过调查中医医院基础病因为冠心病的慢性心力衰竭(CHF)患者的临床流行病学特点,为CHF患者的诊疗提供资料。方法制定慢性心力衰竭临床流行病学调查表,对全国17家中医医院的冠心病CHF患者进行病例调查。结果共有439例患者入选,以老年患者为主,男女比例为1.3∶1.0,男性患者平均年龄小于女性。合并疾病以高血压病、糖尿病、心律失常、脑血管疾病为主。诱因以过度劳累、原有疾病加重、情绪波动、感染等为主,且多由2种以上诱因导致。冠心病CHF患者中的病性证候要素出现频率最多的依次为气虚(81.5%)、血瘀(79.5%)、水饮(27.3%)、痰浊(20.0%)、阴虚(19.1%)、阳虚(18.2%),病位证候要素中以心(90.4%)为主,其次为肺(33.0%)、脾(32.6%)、肾(31.7%)、肝(15.7%)。CHF患者的证候分布中以气虚血瘀、气阴两虚证为常见。结论冠心病CHF患者的证候分布中虚证、实证多共同出现,本研究能够为冠心病CHF患者的中医诊治提供一定的流行病学依据。
Objective To provide clinical data for the diagnosis and treatment of chronic heart failure （CHF） through investigating the epidemiological features in the patients with CHF due to coronary heart disease （CHD） in Chinese medicine hospitals. Methods The epidemiological questionnaire of CHF was formulated for the survey in the patients with CHF due to CHD in 17 Chinese medicine hospitals. Results There were totally 439 patients chosen, and most of them were elderly. The percentage of male to female was 1.3：1.0 and average age of the male was lower than that of the female. The complicated diseases were mainly hypertension, diabetes, arrhythmia and cerebrovascular diseases. The major incentives were overwork, aggravated original diseases, mood swing and infection. The syndrome factors involving disease nature with higher frequency were orderly qi deficiency （81. 5% ）, blood stasis （79.5%）, water fluid （27.3%）, phlegm turbidity （20.0%）, yin deficiency （ 19. 1% ） and yang deficiency （18.2%）. The syndrome factors involving disease locations were mainly heart （90.4%）, secondly lung （33.0%）, spleen （32.6%）, kidney （31.7%） and liver （ 15.7% ）. In the distribution of syndromes, the common syndromes were syndrome of qi deficiency and blood stasis and syndrome of dual deficiency of qi and yin. Conclusion The distribution of syndromes in CHF patients shows commonly co-occurrence of deficient and excessive syndromes, and the study provides some epidemiological evidences for TCM diagnosis and treatment in the patients with CHF due to CHD.
出处
《北京中医药大学学报》
CAS
CSCD
北大核心
2013年第9期645-648,共4页
Journal of Beijing University of Traditional Chinese Medicine
基金
国家中医药管理局中医药行业科研专项(No.200807007)
北京中医药大学科研创新团队项目(No.2011-CXTD-06)
关键词
慢性心力衰竭
冠心病
流行病学
证候要素
chronic heart failure
coronary heart disease
epidemiology
syndrome factors
作者简介
罗良涛，男，在读博士生
通信作者：王伟，男，博士．研究员，主任医师，博士生导师，E—mail：wangwei@bucm．edu．cn
