罗定地区冠心病患者中医体质特点分析及中医证型的相关性研究

目的探讨罗定地区冠心病患者中医体质的分布情况及其与中医证型的相关性。方法选取罗定地区2009年5月～2012年12月间确诊的129例冠心病患者，对所有患者进行中医体质辨识、中医证型探讨分析。结果罗定地区冠心病患者的中医体质以气虚质、痰湿质与血瘀质所占比例最高，分别为21．71％、16．28％、15．50％；秽浊痰阻证患者中阴虚质患者的比例要明显低于非秽浊痰阻证的患者（P〈0．05），而痰湿质、湿热质及血瘀质患者的比例要明显高于非秽浊痰阻证的患者（P〈0．05）；秽浊痰阻证患者中实性体质的比例要明显低于非秽浊痰阻证患者（P〈0．05），虚实夹杂体质所占的比例要明显高于非秽浊痰阻证患者（P〈0．05）。结论气虚质、痰湿质、血瘀质三种中医体质在罗定地区冠心病患者中所占比例较高，此类患者的证型多为秽浊痰阻证。

Correlational study of TCM constitutional features and TCM syndromes on patients with coronary heart disease in Luoding district

Objective To investigate the correlation between the characteristics of TCM constitution and TCM syndrome type in patients with coronary heart disease in Luoding. Methods A total of 129 cases of patients with coronary heart disease from May 2009 to December 2012 in Luoding, analysis and discussion on the identification, TCM syn- drome type of TCM constitution of all patients were compared. Results Qi deficiency and blood stasis, phlegm-damp- ness constitution of three accounted for the highest proportion in patients with coronary heart disease, were 21.71%, 16.28%, 15.50%. Huizhuo tanzu syndrome in comparison with non huizhuo tanzu syndrome with Yin deficiency, phlegm dampness, heat, blood stasis of the proportion of the difference had statistics significance （P 〈 0.05）, solid body and simple biased constitution of patients with huizhuo tanzu syndrome was significantly lower than in the proportion of patients with non huizhuo tanzhu syndrome（P 〈 0.05）, inclusion of actual physical and clip biased physique pro- portion was higher than that of patients with non huizhuo tanzhu syndrome （P 〈 0.05）. Conclusion TCM constitution types of coronary heart disease patients in Luoding area with Qi deficiency, blood stasis, phlegm-dampness syndromes predominated, such patients is turbid phlegm syndrome.