稳定性冠心病合并脑卒中的中医证候分布特点分析

目的观察稳定性冠心病合并脑卒中患者中医证候的分布特点。方法采用现况调查方法调研稳定性冠心病患者的合并病及中医证候要素。结果调研736例稳定性冠心病患者,其中合并脑卒中的患者94例,占12.77%。稳定性冠心病常见证候是血瘀（501例,68.07%）、痰浊（363例,49.32%）、气虚（344例,46.74%）。冠心病合并脑卒中患者常见证候是血瘀（65例,69.14%）、气虚（47例,50.00%）、痰浊（44例,46.81%）;亚组分析显示稳定性冠心病合并脑卒中的患者,无论男女均多见气滞证;稳定性冠心病合并脑卒中兼夹糖尿病的患者多见气滞证,稳定性冠心病合并脑卒中兼夹高血压病、高脂血症的患者较不合并脑卒中的患者多见气滞证。结论稳定性冠心病合并脑卒中的基本症候是血瘀、气虚、痰浊,气滞是其关键病机。

Investigation on the Distribution of TCM Syndrome in Stable Coronary Artery Disease with Stroke

Objective To survey the characteristic of traditional Chinese medicine （TCM） syndrome in stable coronary artery disease （CAD） with stroke patients.Methods Inventory survey was used to research consolidation of TCM essentials of the patients with stable coronary artery disease,statistical analysis was implemented by using SPSS13.0 software.Results 736 CAD patients were enrolled,which 94 patients （12.77%） suffered from stroke.The distribution of TCM syndromes of stable coronary artery disease was blood stasis （501 cases,68.07%）,turbid phlegm （363 cases,49.32%）,qi deficiency （344 cases,46.74%）.The distribution of TCM syndromes of stable coronary artery disease combined with stroke was blood stasis （65 cases,69.14%）,qi deficiency （47 cases,50.00%）,phlegm （44 cases,46.81%）.The syndrome of qi stagnation was more often found in stable coronary artery disease combined with stroke than without stroke,especially in those patients suffered from diabetes showed by subgroup analysis.Conclusion Blood stasis,phlegm and qi deficiency were basic syndromes of stable coronary artery disease combined with stroke,qi stagnation was the significant pathogenesis for it.