【摘要】 目的探讨冠心病房颤中医证候的分布规律。方法采用回顾性临床研究方法,根据相关标准制定临床观察表,采纳广东省中医院2004年1月—2007年6月住院并确诊冠心病房颤的病人259例,记录其性别、年龄、病程、冠心病类型、合并危险因素、心室率、房颤类型、冠状动脉病变情况以及主要临床症状,根据临床症状判别其中医证型。结果各种证型中以气滞血瘀型、痰浊阻滞型居多,各证型所占比例由多到少排列为气滞血瘀型(32.4%)>痰浊阻滞型(26.3%)>心脾两虚型(15.4%)>肝肾阴虚型(13.5%)>水饮凌心型(8.1%)>心阳不振型(4.2%)。结论冠心病房颤病因以血瘀为主。血瘀、痰浊、气滞是冠心病房颤的主要病机。更多还原

【Abstract】 Objective To investigate the distribution rule of TCM syndrome in patients with atrial fibrillation(AF)and coronary heart disease (CHD). Methods Two hundred and fifty-nine patients were diagnosed as AF with CHD. The data of age, sex, course of diseases, type of CHD, risk factor, heart rate, features of AF, and clinical symptoms were collected. Based on clinical symptom, Syndrome-types were distinguished.Results The rates of TCM syndrome-types distributed as follow: Blood-qi-stasis syndrome (32.4%)> phlegm-turbid syndrome(26.3%)> heart-spleen-deficiency syndrome (15.4%) >liver-kidney-deficiency syndrome (13.5%) >water-insult-heart syndrome (8.1%)> yang-deficiency syndrome(4.2%). Conclusion Blood-stasis was the pathogenesis of CHD. Blood-stasis, phlegm-turbid and qi-stasis were the primary pathogenesis of AF with CHD.更多还原