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冠心病病人体质与脉象的相关性

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目的:基于体病相关理论探索冠心病病人中医体质分布,结合中医脉诊分析体质与脉象的相关性。方法:选取北京中医药大学东方医院2021年5月31日-11月30日行冠状动脉造影确诊为冠心病的病人,通过量表辨识中医体质,切诊确定脉象,整理冠心病人群体质与脉象特征,采用Spearman相关性分析法分析体质与脉象的相关性。结果:共纳入271例冠心病病人,其体质分布多见痰湿质,为67例(24。7%),其次分别为瘀血质52例(19。2%)、阴虚质45例(16。6%)、气虚质30例(11。1%)、湿热质30例(11。1%)。脉象出现频率>10%的有弦脉(143例,占52。8%)、沉脉(74例,占27。3%)、滑脉(31例,占11。4%)。Spearman相关分析显示,弦脉与气虚质呈负相关(r=-0。137,P<0。05),沉脉与气虚质呈正相关(r=0。153,P<0。05),沉脉与湿热质呈负相关(r=-0。137,P<0。05),滑脉与湿热质呈正相关(r=0。206,P<0。01)。结论:脉象可反映体质倾向,冠心病病人沉脉与气虚质呈正相关,滑脉与湿热质呈正相关,体质与脉象存在一定相关性。
Correlation between Traditional Chinese Medicine Constitution and Pulse Condition in Patients with Coronary Heart Disease
Objective:To explore the distribution of traditional Chinese medicine(TCM)constitution in patients with coronary heart disease(CHD)based on the theory of"constitution-disease relation",and to analyze the correlation between constitution and pulse condition.Methods:The subject population consisted of CHD patients confirmed by coronary angiography at Dongfang Hospital Affiliated to Beijing University of Chinese Medicine from May 31,2021 to November 30,2021.The characteristics of constitution and pulse condition were determined by palpating the pulse condition and combining it with the scale to identify TCM constitution.Results:A total of 271 patients with CHD were included.The distribution of their constitutions was mainly as follows:phlegm-dampness constitution(67,24.7%),blood-stasis constitution(52,19.2%),yin-deficiency constitution(45,16.6%),Qi-deficiency constitution(30,11.1%),damp-heat constitution(30,11.1%).In pulse condition,chord pulse(143,52.8%),sink pulse(74,27.3%),and smooth pulse(31,11.4%)with frequency>10%.Spearman correlation analysis showed that chord pulse was significantly negatively correlated with Qi-deficiency constitution(r=-0.137,P<0.05),sink pulse was significantly positively correlated with qi-deficiency constitution(r=0.153,P<0.05),sink pulse was significantly negatively correlated with damp-heat constitution(r=-0.137,P<0.05),and smooth pulse was significantly positively correlated with damp-heat constitution(r=0.206,P<0.01).Conclusion:Pulse condition can reflect constitution tendency.Sinking pulse is positively related to Qi-deficiency constitution,and slippery pulse is positively related to damp-heat constitution in CHD patients,this study confirm that constitution is related to pulse condition.

coronary heart diseasetraditional Chinese medicine constitutionpulse conditioncorrelation

吴正波、范宗静、李星星、谢连娣、吴旸

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北京中医药大学(北京 100029)

北京中医药大学东方医院(北京 100078)

冠心病 中医体质 脉象 相关性

国家自然科学基金

82074252

2024

中西医结合心脑血管病杂志
中国中西医结合学会 山西医科大学第一医院

中西医结合心脑血管病杂志

CSTPCD
影响因子:1.463
ISSN:1672-1349
年,卷(期):2024.22(6)
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