冠心病心绞痛的中医证型及其相关因素研究

【作者】 荣生美；

【导师】 张艳；

【作者基本信息】 辽宁中医药大学 ， 中西医结合临床， 2010， 硕士

【摘要】 目的:本研究通过小样本现况调查,利用EXCEL和统计学方法,探讨40～65岁冠心病心绞痛人群的中医证型分布情况及其与相关因素的关系。方法:1.2009年7月至2009年11月对于到辽宁中医药大学附属第一医院门诊及心内科住院的冠心病心绞痛患者,按照一定的诊断标准、纳入标准、排除标准,采用问卷调查方式,采集患者30例。2.以EXCEL表格的形式录入患者信息。3.分析、归纳冠心病心绞痛的中医证型分布情况。4.利用统计软件,分析各证型间体重指数、总胆固醇及甘油三酯的差异性。结果:所采集的30例均进入结果分析,得到如下结论:1.中医证型分布情况,按频次多少依次排列为:气阴两虚证、气虚血瘀证、痰浊痹阻证、气滞血瘀证、心阳不振证。2.患者合并病最多的为高血压,其次为高脂血症和心律失常。3.各证型平均体重指数组间两两比较,除心阳不振证与气滞血瘀证、心阳不振证与痰浊痹阻证组间无显著差异外(P>0.05),其余两两比较均有显著差异(P<0.05)。4.各证型平均总胆固醇组间两两比较,没有显著差异(P>0.05)。5.各证型平均甘油三酯组间两两比较,没有显著差异(P>0.05)。结论:1.冠心病心绞痛中医证型分布以气阴两虚证、气虚血瘀证、痰浊痹阻证、气滞血瘀证、心阳不振证依次递减。2.心阳不振证与气滞血瘀证、心阳不振证与痰浊痹阻证组间无差异外,其余各组均有显著差异。3.各证型间平均总胆固醇、甘油三酯无差异,血脂不能作为区分证型的依据。更多还原

【Abstract】 Purpose:This study uses EXCEL and statistical methods to discusses distribution of TCM symptoms of 45 to 65-year-old people with coronary heart diseases or angina pectoris through current condition survey and radom visit to small samples to get TCM symproms of pectoral stuffiness pain and the relationgship between coronary heart diseases or angina peltoris and the factors related.Methords:1.In accordance with definite diagnosis standards, including standards and excluding standards, acquired 30 cases of patients with Coronary heart disease of the first hospital of Liaoning University of Traditional Chinese Medicine from July 2009 to November 2009 through the mode of questionnaire survey;2.Inputted patient information in the mode of EXCEL tables;3.Analysed and summed up distribution of medical symptoms of coronary heart diseases and angina pectoris;4.Analysed differences in body weight indexes and blood lipid of various symptoms by using statistical software.Results:Result analysis of acquired 30 cases shows that:1. distribution of the TCM symptoms is deficiency of qi and yin、deficiency of qi leading to blood stasis、phlegm obstruction、stagnant of qi and lood stasis、and eart-yang deficiency、in accordance with frequencies;2.there are totally 30 patients with hypertensive diseases at different levels, and these patients account for 16.67% of all patients;3. in accordance with comparison of body weight indexes of every two symptom groups, body weight indexes of eart-yang eficiency and stagnant of qi and blood stasis、eart-yang efficiency and phlegm obstruction have no obvious difference(P>0.05), and body weight indexes of other symptom groups are in great difference between each other (P<0.05).4. averages of total cholesterol of every two symptom groups have no obvious difference (P>0.05);5. averages of triglyceride of every two symptom groups have no obvious difference (P>0.05).Conclusion:1.Distribution of TCM symptoms of coronary heart diseases and angina pectoris is deficiency of qi and yin、deficiency of qi leading to blood stasis、phlegm obstruction、stagnant of qi and lood stasis、and eart-yang deficiency、in accordance with frequenciesin descending order;2.eart-yang eficiency and stagnant of qi and blood stasis、phlegm obstruction have no obvious difference, and body weight indexes of other symptom groups are in great difference.3.Each sypmtom has no difference in averages of total cholesterol and triglyceride, and the blood lipid can not be used as basis for differentiating sypmtoms.更多还原