Study on TCM syndrome characteristics in coronary artery disease patients with persistent atrial fibrillation

JIA Qiu-lei; XIAO Xiang; HU Yuan-hui; ZHU Bao-chen; HAN Wen-bing

doi:10.16025/j.1674-1307.2022.10.004

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Study on TCM syndrome characteristics in coronary artery disease patients with persistent atrial fibrillation

更新时间：2023-06-16

- Study on TCM syndrome characteristics in coronary artery disease patients with persistent atrial fibrillation
- Beijing Journal of Traditional Chinese Medicine Vol. 41, Issue 10, Pages: 1091-1095(2022)
- 作者机构：
  
  1.北京中医药大学东直门医院心血管科四区，北京 101121
  2.中日友好医院中西医结合心内科，北京 100029
  3.中国中医科学院广安门医院，北京100053
  4.北京中医药大学东直门医院药学部，北京 101121
  5.北京中医药大学东直门医院急诊科二区，北京 101121
- 作者简介：
- 基金信息：
- DOI：10.16025/j.1674-1307.2022.10.004
  CLC：
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贾秋蕾，肖响，胡元会，等.冠心病持续性心房颤动患者中医证候学特征研究［J］.北京中医药，2022，41（10）：1091-1095.

JIA Qiu-lei,XIAO Xiang,HU Yuan-hui,et al.Study on TCM syndrome characteristics in coronary artery disease patients with persistent atrial fibrillation[J]. Beijing Journal of Traditional Chinese Medicine,2022,41(10):1091-1095.
贾秋蕾，肖响，胡元会，等.冠心病持续性心房颤动患者中医证候学特征研究［J］.北京中医药，2022，41（10）：1091-1095. DOI： 10.16025/j.1674-1307.2022.10.004.

JIA Qiu-lei,XIAO Xiang,HU Yuan-hui,et al.Study on TCM syndrome characteristics in coronary artery disease patients with persistent atrial fibrillation[J]. Beijing Journal of Traditional Chinese Medicine,2022,41(10):1091-1095. DOI： 10.16025/j.1674-1307.2022.10.004.

摘要

目的,2,探讨冠心病持续性心房颤动患者主要中医证候分布特点。,方法,2,选取冠心病持续性心房颤动患者282例，收集患者的四诊信息，对中医证候进行系统聚类分析，总结中医常见证候。,结果,2,胸闷、心悸、失眠、神疲乏力是冠心病合并持续性房颤的最常见症状；舌暗红、苔黄腻为常见舌象；脉弦细、脉弦滑为常见脉象；常见的中医证候为气阴两虚兼痰瘀互结证、肝肾不足证、阴虚火旺证、血瘀水停证。,结论,2,气阴两虚兼痰瘀互结证为冠心病持续性心房颤动患者的主要证型，研究结果一定程度上反映出冠心病合并持续性房颤的临床证候分布特征，为临床辨证论治提供参考。

Abstract

Objective,2,To summarize TCM syndrome characteristics of coronary artery disease （CAD） patients accompanied with persistent atrial fibrillation （PeAF）.,Methods,2,A total of 282 CAD patients with PeAF were selected and the symptoms and signs of these patients were collected by four diagnostic methods， then TCM syndromes were performed cluster analysis.,Results,2,Chest tightness， palpitation， insomnia and fatigue were the most common symptoms of CAD accompanied with PeAF， dark red tongue and yellow greasy tongue were common tongue manifestations， and thin wiry pulse and wiry smooth pulse are common pulse conditions. There were four common TCM syndromes， that is Qi and Yin deficiency syndrome complicated with phlegm and blood stasis， deficiency of liver and kidney， Yin deficiency and fire flourishing syndrome， blood stasis and water retention syndrome.,Conclusion,2,The main TCM syndrome of CAD patients with PeAF is Qi and Yin deficiency together with phlegm and blood stasis. To some extent， the research results could reflect the clinical syndrome distribution characteristics of CAD accompanied with PeAF， which is helpful to guide the clinical syndrome differentiation and treatment.

关键词

持续性房颤冠心病聚类分析证候特征

Keywords

Persistent atrial fibrillationcoronary artery diseasecluster analysisTCM syndrome characteristics

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