首页|基于回顾性调查的扩张型心肌病中医证候要素特征探析

基于回顾性调查的扩张型心肌病中医证候要素特征探析

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目的:归纳总结扩张型心肌病(DCM)证候、证候要素分布规律,为 DCM的中医诊治提供切实的依据。方法:采用回顾性研究的方法,筛选河南中医药大学第一附属医院、河南省中医院 2010 年 1 月—2020 年 6 月确诊为 DCM 的住院病人共 449 例,利用EpiData 3。1软件建立病例资料数据库,通过 IBM SPSS 25。0软件进行频数计算、Logistic回归分析、聚类分析。结果:449例 DCM住院病人核心症状是胸闷、心悸、气喘、水肿、乏力、食少纳呆、舌质暗/淡;常见证候有水湿内停证、血瘀阻络证、气阴两虚证、气虚血瘀证、心脾两虚证、阳虚水泛证;常见病位证候要素有心、脾、肺、肾、肝;常见病性证候要素有气虚、血瘀、阴虚、水停、痰浊、阳虚;聚类分析得出 12类有意义的证候类型。结论:建立以证候、证候要素为核心的 DCM辨证体系有利于指导临床诊疗。
Retrospective Analysis of Characteristics of Traditional Chinese Medicine Syndrome Elements of Dilated Cardiomyopathy
Objective:To summarize the distributions of dilated cardiomyopathy(DCM)syndrome and syndrome elements.Methods:A total of 449 inpatients diagnosed with DCM in the First Affiliated Hospital of Henan University of Chinese Medicine and Henan Provincial Hospital of Traditional Chinese Medicine from January 2010 to June 2020 were collected by retrospective study.EpiData 3.1 software was used to establish case data database,and IBM SPSS 25.0 software was used for frequency calculation,Logistic regression analysis,and cluster analysis.Results:The core symptoms of 449 cases of patients with DCM were chest tightness,palpitation,asthma,edema,fatigue,anorexia,dark tongue and light tongue.The common syndromes were stagnation of water and dampness,obstruction of collaterals by blood stasis,deficiency of Qi and Yin,deficiency of Qi and blood stasis,deficiency of heart and spleen,and Yang deficiency and water generalization.The common disease location elements were heart,spleen,lung,and kidney.The common syndrome elements were Qi deficiency,blood stasis,Yin deficiency,water stagnation,phlegm-turbidity and Yang deficiency.Cluster analysis showed 12 kinds of significant syndrome types.Conclusion:The establishment of DCM syndrome differentiation system with syndrome and syndrome elements as the core is beneficial to guide clinical diagnosis and treatment.

dilated cardiomyopathysyndromesyndrome elements

王素云、武圆圆、张会超、杨凤鸣、冯尧伟、曾垂义、王振涛

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河南中医药大学(郑州 450000)

河南中医药大学第二附属医院(郑州 450000)

扩张型心肌病 证候 证候要素

河南省特色骨干学科中医学学科建设项目(第二批)国家中医临床研究基地科研专项河南省中医药拔尖人才培养专项河南省中医学"双一流"创建科学研究专项

STG-ZYX01-2021042019JDZX0052022ZYBJ13HSRP-DFCTCM-2023-4-10

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(7)
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