首页|基于证素理论探讨胸痹心痛的基本病机

基于证素理论探讨胸痹心痛的基本病机

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  • 国家科技期刊平台
  • NETL
  • NSTL
  • 万方数据
目的:本文通过临床调查及文献研究的方式，通过分析冠心病心绞痛中医证素和证型分布情况，探寻冠心病心绞痛，即胸痹心痛的基本病机与证素。方法:回顾性收集2022年1月至2022年4月北京中医药大学东直门医院冠心病心绞痛住院病例，研究其证素分布情况;以"冠心病""胸痹心痛""心绞痛""证候""证素分布""病机"等关键词检索中国知网数据库(CNKI)、万方数据库、重庆维普数据库(VIP)、中国生物医学文献数据库(CBM)自建库至2022年12月的文献，对文献进行归纳，探讨胸痹心痛的基本病机与证候要素。结果:共收集冠心病心绞痛住院病例143例，其中有血瘀证素的134例，占93。70％;检索得到的相关文献，明确指出血瘀是冠心病心绞痛的基本病机与证候要素。结论:血瘀是冠心病心绞痛(胸痹心痛)的基本病机及证素，活血化瘀法是治疗冠心病心绞痛的有效方法，对于治疗胸痹心痛具有指导意义;主张在活血化瘀治疗同时和其他药配伍，提高临床疗效。
To explore the basic pathogenesis of chest stuffiness and pain based on syndrome element theory
Objective:Through clinical investigation and literature review,this paper analyzes the distribution of TCM syn-drome elements and syndrome types of angina pectoris of coronary heart disease,and explores the basic pathogenesis and syn-drome elements of angina pectoris of coronary heart disease,that is,chest stuffiness and pain.Methods:From January 2022to A-pril 2022,the hospitalized patients with angina pectoris of coronary heart disease in Dongzhimen Hospital,Beijing University of Chinese Medicine were retrospectively collected,and the distribution of syndrome elements was studied.'0Coronary heart dis-ease','chest obstruction and pain','angina pectoris','syndrome','distribution of syndrome elements'and'pathogenesis'were used as keywords to search the literature in China National Knowledge Infrastructure(CNKI),Wanfang Database,Chongqing VIP Database(VIP)and China Biology Medicine Disc(CBM)from the establishment of the database to December 2022,and the literature was summarized.To explore the pathogenesis and syndrome factors of angina pectoris in coronary heart disease(CHD).Results:A total of 143hospitalized patients with coronary heart disease and angina pectoris were collected,of which 134cases(93.70％)were characterized by blood stasis.By searching relevant literature,it is clearly pointed out that blood stasis is the basic pathogenesis and syndrome factor of angina pectoris of coronary heart disease.Conclusions:Blood stasis is the basic pathogenesis and syndrome of angina pectoris of coronary heart disease(chest stuffiness and pain).The method of promoting blood circulation and removing blood stasis is an effective method for the treatment of angina pectoris of coronary heart disease,which has guiding significance for the treatment of chest stuffiness and pain.It is suggested that it should be combined with other drugs in the treatment of promoting blood circulation and removing blood stasis to improve the clinical efficacy.

chest stuffiness and painscoronary heart disease angina pectorisBlood stasisPathogenesisSyndrome ele-mentMethod of promoting blood circulation and removing stasis

何姝、崔凯月、陈坤、张士玉、田润溪、张媛、于春光

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北京中医药大学,北京 100029

北京中医药大学东直门医院,北京 101121

首都医科大学附属北京中医医院,北京 100010

胸痹心痛 冠心病心绞痛 血瘀 病机 证素 活血化瘀法

北京中医药大学基本科研重点攻关项目

2020-JYB-ZDGG-080

2024

四川中医
四川省中医药学会，四川省中西医结合学会，四川省针灸学会，四川省中医药科学院

四川中医

CSTPCD
影响因子：0.522
ISSN：1000-3649
年,卷(期)：2024.42(3)
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