稳定型心绞痛证候特点及其痰瘀互结型的影响因素
The Syndrome Characteristics of Stable Angina Pectoris and the Influence Factor of Phlegm and Blood Stasis
付蔷 1李忠 1刘用 2王羽嘉 1刘碧绒 1吴红金3
作者信息
- 1. 北京中医药大学东直门医院(北京 100700)
- 2. 北京中医药大学东方医院
- 3. 上海中医药大学博鳌国际医院(海南琼海 571437)
- 折叠
摘要
目的:探讨稳定型心绞痛证候特点及其痰瘀互结型与理化指标的相关性分析.方法:选取 2018 年 1 月—2020 年 12 月就诊于北京中医药大学东直门医院的稳定型心绞痛病人 194例,统计受试者基线资料及相关实验室检查指标,并根据中医四诊信息归纳病人证候信息.结果:194例受试者中,痰瘀互结型 86例(44.3%),气虚血瘀型 52例(26.8%),气阴两虚型 29例(14.9%),气滞血瘀型 27例(13.9%).单因素分析结果提示稳定型心绞痛的中医证候影响因素包括体质指数(BMI)、血红蛋白(Hb)及天门冬氨酸氨基转移酶(AST).Logistic 回归分析提示痰瘀互结型独立影响因素为 BMI、Hb、AST.结论:稳定型心绞痛证候分布中痰瘀互结型占比最高;BMI、Hb、AST是稳定型心绞痛中医辨证为痰瘀互结型的独立影响因素.
Abstract
Objective:To explore the correlation between phlegm and blood stasis and physical and chemical indexes.Methods:A total of 194 patients with stable angina pectoris were selected,and the baseline data and relevant laboratory examinations of the subjects were collected,and the syndrome information of the patients was summarized according to the four diagnostic information of traditional Chinese medicine.Results:Among 194 subjects,86(44.3%)were phlegm and blood stasis;52 cases(26.8%)showed with qi deficiency and blood stasis;29 cases(14.9%)showed with deficiency of both qi and yin;27 cases(13.9%)showed with qi stagnation and blood stasis.Univariate analysis suggested that the influencing factors of TCM syndromes of stable angina included body mass index(BMI),hemoglobin(Hb),and aspartate aminotransferase(AST).Multivariate Logistic regression analysis showed that the independent influencing factors of phlegm and blood stasis were BMI,Hb,and AST.Conclusion:The stable angina pectoris most common syndromei is phlegm and blood stasis;BMI,Hb,and AST are independent influencing factors of phlegm and blood stasis type.
关键词
稳定型心绞痛/痰瘀互结型/证候特点Key words
stable angina pectoris/phlegm and blood stasis type/syndrome characteristics引用本文复制引用
出版年
2024
NETL
NSTL
维普
万方数据