[1]汪云翔.203例房颤患者中医辨证相关因素分析[J].西部中医药,2012,25(12):61-62.
　WANG Yun-xiang.Analysis on Relative Factors of Syndrome Differentiation in 203 Patients with Auricular Fibrillation[J].Western Journal of Traditional Chinese Medicine,2012,25(12):61-62.
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203例房颤患者中医辨证相关因素分析
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
25
期数:
2012年12期
页码:
61-62
栏目:
出版日期:
2012-12-15

文章信息/Info

Title:
Analysis on Relative Factors of Syndrome Differentiation in 203 Patients with Auricular Fibrillation
文章编号:
1004-6852(2012)12-0061-02
作者:
汪云翔
江苏省中医院心内科，江苏 南京 210029
Author(s):
WANG Yun-xiang
Cardiology of Jiangsu Province Hospital of TCM, Nanjing 210029, China
关键词:
心房颤动; 中医辨证; 年龄; 病史
Keywords:
auricular fibrillation;  TCM syndrome differentiation;  age;  disease history
分类号:
R540.41
文献标志码:
A
摘要:
目的：探求心房颤动中医分型与年龄、性别及相关疾病的关系。方法：选择203例房颤患者，按中医辨证分为瘀阻心脉、痰浊闭阻、水饮凌心、心血不足、阴虚火旺、心阳不振6型，比较不同性别、年龄以及有冠心病病史、风湿性心脏病病史、高血压病病史患者各中医证型的构成情况。结果：房颤病人以老年人居多，证型以瘀阻心脉、痰浊闭阻居多。有冠心病病史的房颤患者多为瘀阻心脉、痰浊闭阻型；有高血压性心脏病的患者辨证多为瘀阻心脉、阴虚火旺；风心病引起的房颤辨证多为水饮凌心、心血不足。结论：房颤患者的中医证型与其年龄及相关病史有关，临床辨证需考虑相关因素。
Abstract:
Objective: To find out the relationships between TCM pattern and aging, gender and associated diseases. Method: All 203 patients were divided into six groups according to TCM syndrome differentiation, which included: blood stasis obstructing the heart, phlegm turbidity obstruction, water intimidating the heart, heart blood deficiency,Yin deficiency and fire hyperactivity, devitalization of heart Yang. The syndromes of patients with the history of coronary heart disease, rheumatic heart disease and hypertension as well as their gender and ages were analyzed. Result: Most of the patients with auricular fibrillation are the elderly and their syndromes mostly are blood stasis obstructing the heart and phlegm turbidity obstruction; the patients with the history of coronary heart disease are also of blood stasis obstructing the heart and phlegm turbidity obstruction; the patients with the history of hypertensive heart disease are differentiated as blood stasis obstructing the heart and Yin deficiency and fire hyperactivity; auricular fibrillation induced by rheumatic heart disease is mostly differentiated as water intimidating the heart and heart blood deficiency. Conclusion: TCM syndrome of auricular fibrillation is associated to the age and relevant history of disease of patients, when differentiating, we should consider these factors.

参考文献/References:

［1］ 颜红彬，马长生.美国心房颤动治疗指南［M］.北京：中国环境科学出版社，2006：1-14. ［2］ 圣洪平，许敏芳.参松养心胶囊治疗阵发性心房颤动 30 例［J］.甘肃中医，2010，23（12）：24-25. ［3］ 杨发荣.中药转律汤治疗快速房颤32 例(附西药对照组 28 例)［J］.辽宁中医杂志，1997，24(2)：68. ［4］ 于真健.中西医结合治疗冠心病心律失常 56 例［J］.中西医结合心脑血管病杂志，2003，1(9)：544. ［5］ 尹克春，李星河，陈力，等.冠心病房颤中医证候分布规律临床观察［J］.中西医结合心脑血管病杂志，2007，5(12)：1163-1165. ［6］ 安桂香，王莉.胺碘酮治疗房颤并发静脉炎 25 例护理体会［J］.西部中医药，2011，24（10）：90-91.

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备注/Memo

备注/Memo:
收稿日期：2012-06-20 作者简介：汪云翔(1981—)，男，硕士研究生，医师。研究方向：心血管疾病的中西医结合诊治。
更新日期/Last Update: 1900-01-01