摘要
目的分析动脉粥样硬化(arteriosclerotic vascular disease,ASVD)患者中医证候的分布特点,探讨ASVD证候的特异性,提高动脉粥样硬化辨证论治水平,推动ASVD的早期发现及早期干预。方法随机抽取1264例动脉粥样硬化患者,通过中医望闻问切,将其分为气虚、痰湿、阴虚、火旺、气滞、血瘀等证候,同时采集所有患者的臂踝脉搏波传导速度(brachial-ankle pulse wave velocity,ba PWV)、踝臂指数(Ankle-brachial Index,ABI)以及血脂数据,进行统计学分析。结果 (1)动脉硬化患者具有证候差异性分布,其中气虚痰湿比例最高,占29.9%(P<0.05),其次为阴虚火旺、气滞血瘀证。(2)各证候分型之间踝臂指数比较无统计学意义(P>0.05),各证候臂踝脉搏波传导速度比较,痰湿证>阴虚证>血瘀证>气郁证,有统计学意义(P<0.05)。结论动脉粥样硬化患者证候分布以痰湿为主,符合本病气血亏虚、肝肾不足为基础;痰浊、瘀血、脉络不畅为标实的病因病机。通过辨证施治,辨证预防,积极推动早期干预,可以有效阻断动脉粥样硬化的发展,减少并发症的发生。
Objective To analyze the atherosclerosis( arteriosclerotic vascular disease,ASVD) distribution characteristics of TCM Syndromes of patients,to explore the specificity of ASVD syndrome,and to improve atherosclerosis syndrome differentiation and treatment level,to push ASVD early detection and early intervention. Methods randomly selected 1264 cases of patients with atherosclerosis,through TCM basic diagnosis methods,divided into the Qi deficiency and phlegm dampness,deficiency of Yin,effulgent fire,qi stagnation,blood stasis and other syndromes,simultaneous acquisition of brachial ankle pulse wave velocity in all patients( brachial- ankle pulse wave velocity,ba PWV),ankle brachial index( Ankle- brachial,Index,ABI) and blood lipid data were statistically analyzed. Results( 1) the hardening of the arteries in patients with the syndrome difference distribution,the Qi deficiency and phlegm dampness the highest proportion,accounting for 29. 9 %( P < 0. 05),followed by the effulgent fire due to yin deficiency,stagnation of Qi and blood stasis.( 2) the syndromes between ankle brachial index showed no statistical significance( P > 0. 05),comparison of various syndromes of brachial ankle pulse wave velocity,phlegm > Yin deficiency syndrome > blood stasis > qi stagnation syndrome,with statistical significance( P < 0. 05). Conclusion patients with atherosclerosis syndrome patterns of phlegm dampness,consistent with the disease of deficiency of Qi and blood,deficiency of liver and kidney as the foundation; phlegm and blood stasis,context is not smooth for the etiology and pathogenesis of the real standard. Through the syndrome differentiation,syndrome differentiation and prevention,actively promote the early intervention can effectively prevent the development of atherosclerosis,reduce the occurrence of complications.
出处
《陕西中医学院学报》
2015年第1期16-19,共4页
Journal of Shaanxi College of Traditional Chinese Medicine
关键词
动脉粥样硬化
中医
证候
辨证
atherosclerosis
traditional Chinese medicine
syndrome
syndrome differentiation
