风、痰、瘀、虚证在急性心肌梗死中关系探讨

目的 探讨临床中风、痰、瘀、虚各证候在急性心肌梗死（AMI）发生中的关系.方法 采用临床回顾性调查研究方法.先制定调查表格,然后使用病案管理系统查询AMI病例的住院号,再根据住院号提取病案,根据纳入标准及排除标准对病案进行筛选,按照表格内容收集相关数据,进行数据处理、SPSS统计分析,最后总结、撰写论文.结果 （1）AMI的证候分布：AMI的中医证候分布为血瘀证（92％）、痰浊证（61.6％）、气虚证（57.6％）,阴虚证（20％）、阳虚证（7.2％）、风证（1.6％）.（2）AMI的证候组合特点：AMI的中医证候组合以两证组合最为多见（54.4％）,其次为三证组合（29.6％）.AMI的证候组合的变化规律为：以痰瘀互阻、气虚血瘀证为基本的中医证候组合.（3）AMI中医证候与冠脉病变程度：痰浊证、血瘀证与冠脉病变程度差异有统计学意义（P＜0.05）.而风证、气虚证、阴虚证、阳虚证对冠脉病变程度的影响尚未达到统计学意义（P＞0.05）.结论 （1）AMI更易出现血瘀证、痰浊证、气虚证.（2）痰瘀互阻、气虚血瘀证为AMI基本证型.（3）血瘀证、痰浊证倾向于多支病变.

The Relationship Between the Syndrome of Wind,Sputum,Blood Stasis,Deficiency in the Occurance of Acute Myocardial Infarction

Objectives： To discuss the relationship between the syndrome of wind, sputum, blood stasis, deficiency in the occurance of acute myocardial infarction（AMI）. Methods： The method of clinical retrospective survey study was adopted. Survey form was made, and then medical record management system was used to query hospitalization Numbers of cases of acute myocardial infarction. The medical records were screened according to the inclusion cri- teria and exclusion criteria,then collected were relevant data according to the form＇s content,and then date processing and SPSS statistical analysis were made. Finally summarized and wrote paper. Results： （1）Acute myocardial infarction syndromes distribution： Acute myocardial infarction by syndromes blood stasis syndrome （92%）, secondly was phlegmy turbidity syndrome （61.6%） and qi deficiency syndrome （76.6%）,and less yin deficiency syndrome （20%）, yang deficiency syndrom （7.2%）,wind syndrome （ 1.6% ）. （2）Combination of Acute myocardial infarction syndromes characteristics：combine to 2 card combination most common （54.4%）, followed by three card combination （29.6%）. Acute myocardial infarction syndromes assorted change rule： phlegm and blood stasis transresistance syndrome,and qi deficiency blood stasis syndrome are basic syndrome combinations. （3）Syndromes of acute myocardial infarction and coronary artery lesion severity：by the chi-square test,blood stasis,phlegmy turbidity syndrome and degree of coronary lesions was statistically significant （P〈 0.05 ）, and wind syndrome ,qi defi- ciency syndrome,yin deficiency,yang deficiency syndrome on the influence of coronary artery lesion count have yet to reach statistical significance. Conclusion： （1）Appear blood stasis syndrome,phlegmy turbidity syndrome ,qi deficiency syndrome are more prone to Acute myocardial infarction syndromes. （2）Phlegm and blood stasis transresistance syndrome,and qi deficiency blood stasis syndrome are basic syndromes of Acute my