摘要
根据山东中医药大学附院心内科近10年的489例住院病例回顾性调查结果,结合中医理论和古今文献系统地分析了冠心病心绞痛、心肌梗塞证治特点。489例冠心病中医证型多见于气阴两虚型(41%)、气虚血瘀(39%)、痰湿壅盛(36%)、痰瘀痹阻(17%)、气滞血瘀(11%)、心阳不振(5%)。其中401例心绞痛以气虚血瘀占42.39%,88例心肌梗塞以气阴两虚证占68.18%居各组证型首位。研究表明:热证在冠心病中占60%左右。由此提出清化瘀热应为治疗冠心病的重要法则之一。
The syndrome and treatment research in cardiovascular disease（ angina pectoris and myocardial infarction of coronary heart disease ） is done according to the reviewing investigation of 489 cases in cardiovas- cular department of the affiliated hospital of Shandong University of TCM in the near 10 years combined with the TCM theory and the ancient and modem documents. In 489 cases of coronary disease the types of syn- drome in TCM are commonly as deficiency of qi and yin （41 percent ） , deficiency of qi complicated with blood stasis （39 percent ） , excessive accumulation of phlegm -dampness （36 percent ） , retention of phlegm and blood stasis （ 17 percent ） , stagnation of qi complicated with blood stasis （ 11 percent ） , insufficiency of heart yang （ 5 percent ）. Among 401 cases of suffering from angina pectoris the syndrome of deficiency of qi and blood stasis accounts for 42.39 percent and among 88 cases of suffering from myocardial infarction the syndrome of deficiency of both qi and yin accounts for 68. 18 percent which occupy the first place of each group. It indicates that heat syndrome makes up about 60 percent in cardiovascular disease according to the research. As result we can conclude that the therapy of removing the heat and toxin materials is an important method in treating cardiovascular disease.
出处
《实用中医内科杂志》
2010年第8期73-75,共3页
Journal of Practical Traditional Chinese Internal Medicine
关键词
冠心病
证型
临床回顾分析
Coronary disease
syndrome
retrospective analysis of clinic
