慢性心力衰竭气虚证、气阴两虚证、气阳虚证的临床特点分析

目的研究气虚类慢性心力衰竭不同证型的临床特点。方法纳入118例气虚类（含气阴两虚及气阳虚）慢性心力衰竭（CHF）患者,采集其相关临床症状、体征、检验检查,比较分析气虚证、气阴两虚证、气阳虚证的不同临床特点。结果扩张性心肌病患者辨证多为气阳虚;气虚证、气阴两虚证、气阳虚证心力衰竭严重程度不同,气阳虚证患者心力衰竭程度最严重。结论心力衰竭气虚证、气阴两虚证、气阳虚证在原发疾病和心力衰竭病情程度上有不同特点：扩张性心肌病患者辨证多为气阳虚,气阳虚证患者心力衰竭程度最严重。

Clinical Characteristics of Qi Deficiency Syndrome,Qi-Yin Deficiency Syndrome and Qi-Yang Deficiency Syndrome in Chronic Heart Failure

Objective To observe clinical characteristic of chronic heart failure（CHF） patients（pts） with Qi Deficiency.Methods Clinical data of 118 pts with CHF and Qi deficiency were collected.Clinical characteristics of Qi deficiency syndrome,Qi-Yin deficiency syndrome,and Qi-Yang deficiency syndrome were compared and analyzed.Results Pts with dilated cardiomyopathy always had Qi-Yang deficiency syndrome.The most serous syndrome was Qi-Yang deficiency syndrome.Conclusion Qi-Yin deficiency syndrome and Qi-Yang deficiency syndrome were popular in Qi deficiency syndrome.The main syndrome in pts with dilated cardiomyopathy was Qi-Yang deficiency syndrome.