【摘要】 目的:研究颈性心律失常的发病类型及中医证型分布情况,为中医辨证分型治疗提供依据。方法:采取回顾性调查方法,抽取2014年6月-2016年6月期间在德州市中医院名医堂诊疗的颈性心律失常病例共计132例,填写《颈性心律失常临床资料调查表》,进行统计分析,统计患者症状,采用系统聚类法分析,将症状条目作为变量进行聚类,根据聚类结果确定证型名称,并对证型进行分析。结果:瘀阻经络、心神失养型55例,痰浊阻滞、心神不安型46例,肝肾亏虚、心肾不交型21例,风寒阻络、心阳不足型10例,证型按比例由低至高依次为风寒阻络证,肝肾亏虚证,痰浊阻滞证,瘀阻经络证,各证型例数比较差异有统计学意义(P<0.05)。结论:颈性心律失常有多种发病因素,但以血瘀、痰浊阻滞为主要证型,均以心虚胆怯、心神失养为辅,可为临床中医辨证治疗提供依据。更多还原

【Abstract】 Objective: The pathogenesis and TCM syndromes of cervical arrhythmia were studied, to provide evidence for TCM syndrome differentiation and treatment. Methods: 132 patients with cervical arrhythmia were selected by retrospective investigation. All patients filled out a clinical questionnaire of cervical arrhythmia. The symptoms were counted and analyzed by cluster analysis. Results: From high to low, 55 cases were the Yuzu Jingluo Xinshen Shiyang type; 46 cases were the Tanzhuo Zuzhi Xinshen Bu’an type; 21 cases were the Ganshen Kuixu Xinshen Bujiao type; 10 cases were the Fenghan Zuluo Xinyang Buzu type. There are significant differences among different syndromes(P<0.05). Conclusion: There are many risk factors to cervical arrhythmia; Xueyu and Tanzhuo Zuzhi were the main syndromes; Xinxu Danqie Xinshen Shiyang is supplemented. The theory can provide the basis for TCM syndrome differentiation and treatment.更多还原