摘要
目的:基于体病相关理论探索冠心病病人中医体质分布,结合中医脉诊分析体质与脉象的相关性。方法:选取北京中医药大学东方医院2021年5月31日—11月30日行冠状动脉造影确诊为冠心病的病人,通过量表辨识中医体质,切诊确定脉象,整理冠心病人群体质与脉象特征,采用Spearman相关性分析法分析体质与脉象的相关性。结果:共纳入271例冠心病病人,其体质分布多见痰湿质,为67例(24.7%),其次分别为瘀血质52例(19.2%)、阴虚质45例(16.6%)、气虚质30例(11.1%)、湿热质30例(11.1%)。脉象出现频率>10%的有弦脉(143例,占52.8%)、沉脉(74例,占27.3%)、滑脉(31例,占11.4%)。Spearman相关分析显示,弦脉与气虚质呈负相关(r=-0.137,P<0.05),沉脉与气虚质呈正相关(r=0.153,P<0.05),沉脉与湿热质呈负相关(r=-0.137,P<0.05),滑脉与湿热质呈正相关(r=0.206,P<0.01)。结论:脉象可反映体质倾向,冠心病病人沉脉与气虚质呈正相关,滑脉与湿热质呈正相关,体质与脉象存在一定相关性。
Objective:To explore the distribution of traditional Chinese medicine(TCM)constitution in patients with coronary heart disease(CHD)based on the theory of"constitution-disease relation",and to analyze the correlation between constitution and pulse condition.Methods:The subject population consisted of CHD patients confirmed by coronary angiography at Dongfang Hospital Affiliated to Beijing University of Chinese Medicine from May 31,2021 to November 30,2021.The characteristics of constitution and pulse condition were determined by palpating the pulse condition and combining it with the scale to identify TCM constitution.Results:A total of 271 patients with CHD were included.The distribution of their constitutions was mainly as follows:phlegm-dampness constitution(67,24.7%),blood-stasis constitution(52,19.2%),yin-deficiency constitution(45,16.6%),Qi-deficiency constitution(30,11.1%),damp-heat constitution(30,11.1%).In pulse condition,chord pulse(143,52.8%),sink pulse(74,27.3%),and smooth pulse(31,11.4%)with frequency>10%.Spearman correlation analysis showed that chord pulse was significantly negatively correlated with Qi-deficiency constitution(r=-0.137,P<0.05),sink pulse was significantly positively correlated with qi-deficiency constitution(r=0.153,P<0.05),sink pulse was significantly negatively correlated with damp-heat constitution(r=-0.137,P<0.05),and smooth pulse was significantly positively correlated with damp-heat constitution(r=0.206,P<0.01).Conclusion:Pulse condition can reflect constitution tendency.Sinking pulse is positively related to Qi-deficiency constitution,and slippery pulse is positively related to damp-heat constitution in CHD patients,this study confirm that constitution is related to pulse condition.
作者
吴正波
范宗静
李星星
谢连娣
吴旸
WU Zhengbo;FAN Zongjing;LI Xingxing;XIE Liandi;WU Yang(Beijing University of Chinese Medicine,Beijing 100029,China)
出处
《中西医结合心脑血管病杂志》
2024年第6期971-974,共4页
Chinese Journal of Integrative Medicine on Cardio-Cerebrovascular Disease
基金
国家自然科学基金项目(No.82074252)。
关键词
冠心病
中医体质
脉象
相关性
coronary heart disease
traditional Chinese medicine constitution
pulse condition
correlation
