冠心病稳定期合并高血压病的中医证候分布特点分析

目的调查分析冠心病稳定期合并高血压病患者中医证候的分布特点。方法用临床流行病学方法调研经冠状动脉造影证实或既往有心肌梗死病史的冠心病患者,采用SPSS13.0软件进行统计分析。结果调研736例冠心病患者,其中合并高血压病患者454例,占61.7%。冠心病稳定期常见证候是血瘀（501例,68.1%）、痰浊（363例,49.3%）、气虚（344例,46.7%）,冠心病合并高血压患者常见证候是血瘀（312例,68.7%）、气虚（220例,48.5%）、痰浊（216例,47.6%）。冠心病稳定期合并高血压者气滞证多于不合并高血压者（P=0.027）,亚组分析显示女性、有脑血管病史的患者多见气滞证（P〈0.05）。结论冠心病稳定期合并高血压病的基本证候是血瘀、痰浊、气虚,气滞是其重要病机。

Analysis of the Distribution of TCM Syndromes of Stable Coronary Artery Disease with Hypertension

Objective To survey the characteristic of traditional Chinese medicine（TCM） syndrome in patients with stable coronary artery disease（CAD） and hypertension.Methods The patients with CAD confirmed by coronary angiography or history of myocardial infarction were investigated through epidemiological method.Statistical analysis was implemented by SPSS13.0.Results Seven hundred and thirty-six patients with CAD were enrolled,which 454 patients（61.7%） suffered from hypertension.The distribution of TCM syndromes of stable coronary artery disease was as follows blood stasis（501 cases,68.1%）,turbid phlegm（363 cases,49.3%）,Qi deficiency（344cases,46.7%）.The distribution of TCM syndromes of stable coronary artery disease with hypertension was as follows blood stasis（312cases,68.7%）,Qi deficiency（220 cases,48.5%）,phlegm（216 cases,47.6%）.The syndrome of Qi stagnation was more often found in stable coronary artery disease with hypertension than without hypertension,especially in female or those patients suffered from cerebrovascular disease showed by subgroup analysis.Conclusion The basic syndromes of stable coronary artery disease with hypertension were blood stasis,phlegm and Qi deficiency were,and Qi stagnation was the significant pathogenesis.