应用中医传承辅助系统对消渴胸痹中医证素分布规律的探究

目的应用中医传承辅助系统探究消渴胸痹的中医证素分布规律。方法收集163例门诊消渴胸痹病人的中西医相关临床资料。应用中医传承辅助系统,采取提取数据源、症状排序分析等方法对数据进行处理。观察消渴胸痹的中医证素分布规律。结果163例消渴胸痹病人中证素分布,气虚95例(58.28%),阴虚85例(52.15%);女性气滞证多于男性(P<0.05),男性痰湿证多于女性(P<0.05),超重及肥胖病人痰湿证比例高(P<0.05),病人早期以阴虚、气虚、气阴两虚证为主,中晚期血瘀比例增加。结论结合消渴胸痹中医证素分布特点,气阴两虚是消渴胸痹的基本病理基础,随着发病年龄的增大及病程的延长,气滞、血瘀、痰湿证增多。早期应以滋阴、益气、健脾为基础;中后期重视祛瘀、理气、祛湿。对不同发病人群应根据其发病特点因人制宜,辨证施治。

Based on TCM Inheritance Auxiliary System to Explore the TCM Syndrome Elements Distribution of Diabetic Cardiopathy

Objective Based on Traditional Chinese Medicine(TCM)Inheritance Auxiliary System to explore the TCM syndrome elements distribution of diabetic cardiopathy.Methods Traditional Chinese medicine and Western medicine clinical data of 163 outpatients with diabetes cardiopathy were collected.The data source and symptom ranking analysis were adopted to process the data.The TCM syndrome elements distribution of diabetic cardiopathy were analysed by the TCM Inheritance Assistant System.Results In the 163 cases,the proportion of Qi-deficiency syndrome(95 cases,58.28%)and Yin-deficiency syndrome(85 cases,52.15%)were higher.The proportion of Qi-stagnation syndrome in female was higher than that in male(P<0.05),the proportion of phlegm-dampness syndrome in male was higher than that in female(P<0.05),the proportion of phlegm-dampness syndrome in overweight and obese patients was higher(P<0.05).In the early stage of the disease,Qi-deficiency,Yin-deficiency,and Qi Yin-deficiency were the main syndrome elements,the proportion of blood-stasis,phlegm-dampness,and Qi-stagnation increased in the late stage of the disease.Conclusion Combined with the elements distribution of diabetic cardiopathy,deficiency of both Qi and Yin is the key pathogenesis of diabetic cardiopathy.With the increase of age and duration of disease,blood-stasis,phlegm-dampness,and Qi-stagnation syndrome increased.In the early stage,therapy of diabetic cardiopathy should be supplementing Qi,nourishing Yin,strengthening spleen.In the late stage of disease,activating blood circulation,removing dampness,and smooth Qi should be paid more attention.According to the clinical characteristics,the patients should be given personalized treatments.