冠心病心绞痛中医证候分布相关性研究

目的探讨冠心病心绞痛（CHD—AP）患者中医证候分布特点。方法对经选择性冠状动脉造影（SCAG）确诊为CHD—AP．并符合病例选择标准的100例患者进行临床证候调查，根据患者临床表现，结合纳入标准中的证候诊断标准，辨证分析确定其证型；将数据进行统计学处理，分析研究对象各中医证型、证候要素分布的特点。结果CHD—AP患者各危险因素之间无显著性差异（P〉0．05）。100例患者共出现8种证型，包含10种常见证候要素。实性证候要素中的血瘀为所有患者共有的基本证候要素，其余各证候要素按出现频率依次为：气滞、痰浊、寒凝、痰热：虚性证候要素中以气虚要素为主，各证候要素按出现频率依次为：气虚、阴虚、肾虚、脾虚、阳虚。结论冠心病心绞痛患者中医证候分布具有一定特征性，血瘀证候要素为所有CHD患者病变均具有的基本证候要素，气虚证候要素在虚性证候要素中占重要地位。

Distribution Correlation of Chinese Medicine Syndromes in Coronary Heart Disease with Angina Pectoris

Objective To explore the distribution characteristics of Chinese medicine syndromes in coronary heart disease with angina pectoris(CHD-AP).Methods Selective coronary angiography(SCAG)was used to determine the diagnosis of CHD-AP and clinical syndrome investigation was carried on among the enrolled 100 cases.In light of clinical manifestations,and in association with included standards of syndrome diagnosis,the syndrome of disease was determined through the analysis and differentiation.Statistical management was conducted in the data and the characteristics were analyzed in syndromes of Chinese medicine and element distributions of syndromes among the objects.Results No significant difference was presented in risk factor among CHD-AP patients(P>0.05).8 syndromes were included among 100 cases with 10 common elements.Among the syndrome elements of excess,blood stasis was the basic element of all the patients and the order of presenting frequency of the rest elements was qi stagnation,turbid phlegm,cold stagnation,phlegm heat.Among the syndrome elements of deficiency,qi deficiency was the major one and the order of presenting frequency order of the rest was qi deficiency,yin deficiency,kidney deficiency,spleen deficiency and yang deficiency.Conclusion A certain characteristics of syndrome distribution is presented in CHD-AP.The syndrome of blood stasis is the fundamental elements for all of CHD patients and qi deficiency plays an important role in the syndrome elements of deficiency.