冠心病持续性心房颤动患者中医证候学特征研究

贾秋蕾; 肖响; 胡元会; 朱宝琛; 韩文兵

doi:10.16025/j.1674-1307.2022.10.004

您当前的位置：

首页 >

文章列表页 >

冠心病持续性心房颤动患者中医证候学特征研究

专题 | 更新时间：2023-06-16

- 冠心病持续性心房颤动患者中医证候学特征研究
- Study on TCM syndrome characteristics in coronary artery disease patients with persistent atrial fibrillation
- 北京中医药 2022年41卷第10期页码：1091-1095
- 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：
  
  贾秋蕾，女，32岁，博士，医师。研究方向：心血管疾病的中医药防治。
  韩文兵，E-mail：hvb9527@163.com
- 基金信息：
  
  中央级公益性科研院所基本科研业务费专项(ZZ15-XY-LCQ-02);首都卫生发展科研专项(首发2022-1-4153);中国中医科学院科技创新工程项目(CI2021A00918)
- DOI：10.16025/j.1674-1307.2022.10.004
  中图分类号：
扫描看全文
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

references

PADFIELD GJ, STEINBERG C, SWAMPILLAI J, et al. Progression of paroxysmal to persistent atrial fibrillation: 10-year follow-up in the Canadian registry of atrial fibrillation[J]. Heart Rhythm, 2017,14(6):801-807.

YANG WY, DU X, FAWZY AM, et al. Associations of atrial fibrillation progression with clinical risk factors and clinical prognosis: A report from the chinese atrial fibrillation registry study[J]. J Cardiovasc Electrophysiol, 2021,32(2):333-341.

KANNEL WB, ABBOTT RD, SAVAGE DD, et al. Coronary heart disease and atrialfibrillation: the framingham study[J]. Am Heart J,1983,106(2):389-396.

ARONOW WS, AHN C, MERCANDO AD, et al. Correlation of atrial fibrillation, paroxysmal supraventricular tachycardia, and sinus rhythm with incidences of new coronary events in 1,359 patients, mean age 81 years, with heart disease[J]. Am J Cardiol,1995,75(2):182-184.

HU WS, LIN CL. Impact of atrial fibrillation on stroke, heart failure, and mortality in diabetic patients with coronary artery disease[J]. J Diabetes Complications, 2021,35(1):107762.

芦瑞霞, 张敏, 陈鑫, 等. 基于文献探讨冠心病介入术前后证候要素演变规律[J]. 北京中医药,2021,40(11):1262-1266.

王传池, 杨燕, 吴珊, 等. 冠心病不同发展阶段中医证演变规律研究[J]. 中华中医药杂志,2019,34(5):2101-2106.

邱瑞瑾, 孙杨, 韩松洁, 等. 非瓣膜性房颤中医核心证候指标集的构建[J]. 中国循证医学杂志,2021,21(12):1480-1488.

KIRCHHOF P, BENUSSI S, KOTECHA D, et al. 2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS[J]. Eur Heart J,2016,37(38):2893-2962.

徐济民. 缺血性心脏病诊断的命名及标准：国际心脏病学会和协会/世界卫生组织临床命名标准化专题组的联合报告[J]. 国外医学·心血管疾病分册,1979(6):365-366.

郑筱萸.中药新药临床研究指导原则[M]. 北京：中国医药科技出版社.1995:91-94.

田德禄. 中医内科学[M].北京：人民卫生出版社，2022：110-125.

季绍良，成肇智.中医诊断学[M]. 北京：人民卫生出版社,2002:122-162.

黎敬波，马力. 中医临床常见症状术语规范修订[M]. 北京：中国医药科技出版社,2015.

李星河. 冠心病房颤的中医证候分型研究[D]. 广州：广州中医药大学,2007.

蔡品一. 冠心病房颤中医证候分布规律临床观察[J]. 中西医结合心血管病电子杂志,2016,4(36):161.

胡志亮, 赖惠梅. 冠心病合并房颤患者中医证型与心室率和左房内径的关系[J]. 新中医,2017,49(7):23-25.

吕新会, 李军, 史玮, 等. 冠心病合并非瓣膜性房颤患者228例中医证候要素分布特征[J]. 世界中医药, 2017,12(3):661-665.

LAU DH, NATTEL S, KALMAN JM, et al. Modifiable risk factors and atrial fibrillation[J]. Circulation,2017,136(6):583-596.

SCHNOHR P, MAROTT JL, KRISTENSEN TS, et al. Ranking of psychosocial and traditional risk factors by importance for coronary heart disease: the Copenhagen City Heart Study[J]. Eur Heart J,2015,36(22):1385-1393.

浏览量

下载量

CSCD

文章被引用时，请邮件提醒。

提交

工具集

关联资源

基于聚类分析的病程2周内变应性鼻炎患儿中医证候分布规律

煤工尘肺208例中医证候初步研究