摘要
目的探讨冠心病中医证候与冠心病发病的相关性。方法168例住院患者均进行冠状动脉造影,完成病史和中医症状、体征的采集和理化检查,作出冠心病或非冠心病诊断,并进行中医辨证分型和脏腑辨证;分别以冠心病辨证分型的7个中医证候、脏腑辨证的6个脏腑虚证为自变量,以冠心病为因变量,进行二值Logistic回归分析。结果血瘀证和气虚证(相对危险度分别为8.959和2.803)是冠心病发病的证候危险因素;心虚证、肝虚证和肾虚证(相对危险度分别为3.074,2.471,3.296)是冠心病发病的脏腑虚证危险因素。结论出现气虚证、血瘀证、心虚证、肝虚证、肾虚证的患者更易于患冠心病。
Objective To discuss the correlation between TCM syndromes of coronary heart disease （CHD） and its onset. Methods All 168 inpatients were examined by coronary arteriography （CAG） and other physical-chemical examinations, and their medical histories, TCM symptoms, physical signs were collected. The diagnoses on whether CHD, TCM syndrome differentiation and classification, and organ syndrome differentiation were completed. The Binary Logistic Regression Analysis was accomplished taking seven TCM syndromes in CHD differentiation and classification and six organ deficiency syndromes in the organ differentiation as independent variable, and CHD as dependent variable. Results The syndromes of blood stasis and qi deficiency （relative risk was 8.959 and 2.803 respectively） were risk factors of syndrome manifestations in the onset of CHD. The syndromes of heart deficiency, liver deficiency or kidney deficiency （relative risk was 3.074, 2.471 or 3.296 respectively） were risk factors of organ deficiency syndrome in the onset of CHD. Conclusion The patients with the syndrome of qi deficiency, blood stasis, heart deficiency, liver deficiency or kidney deficiency suffer from CHD more easily.
出处
《北京中医药大学学报（中医临床版）》
2007年第2期4-6,共3页
Journal of Beijing University of Traditional Chinese Medicine
基金
国家重点基础研究发展规划项目(No.2003CB517103)
关键词
冠心病
证候
脏腑
虚证
coronary heart disease
syndrome manifestations
organs
deficiency syndrome
