稳定型心绞痛的中医证型分析

Traditional Chinese Medicine Syndrome Type Analysis of Stable Angina Pectoris

摘要: 目的：探讨稳定型心绞痛中医证型的出现频率以及其内在规律，加深目前中医对稳定型心绞痛不同证型的认识，以期一定程度上指导临床用药。方法：收集自1979年起我国与稳定型心绞痛中医证型分型有关的文献报道，按照一定的纳排标准，对纳入文献中的病例资料数据进行提取，应用Frequencie法和卡方检验进行数据处理。结果：共纳入34篇论文，分析结果显示稳定型心绞痛常见证型有10种，分别为气虚血瘀、心血瘀阻、痰瘀交阻、痰阻心脉、气滞血瘀、气虚兼痰瘀交阻、气阴两虚、气虚痰阻、寒凝心脉、心阳不振。稳定型心绞痛证型以实证多见，其中心血瘀阻和痰瘀交阻是最常见的证型。其次是虚实夹杂证，其中多以气虚为本，在此基础上伴有血瘀、痰瘀交阻、痰阻等标实表现。结论：目前对稳定型心绞痛中医证候的证型研究尚属于探索阶段，仍需展开大样本的中医证候调查以提高证据的可靠性与科学性。

Abstract: Objective: To explore the inherent law and frequency of Traditional Chinese Medicine (TCM) syndrome types of stable angina pectoris (SAP), and deepen the current understanding of different TCM types of SAP, to guide the clinical medication. Methods: Literature reports related to TCM syndrome classification of SAP were collected since 1979 according to inclusion and exclusion criteria. Frequencie method and chi-square test were applied to analyse data. Results: 34 articles were included. The analysis results indicated 10 most common kinds of SAP patterns: qi deficiency and blood stasis, heart blood stasis, phlegm and blood stasis, phlegm in heart vessels, qi and blood stasis, qi deficiency with blood stasis and phlegm, qi and yin deficiency, qi deficiency with phlegm, cold in heart vessels, weak heart yang. Excess syndrome is most common, especially heart blood stasis and phlegm and blood stasis. The second one is syndrome of intermingled deficiency and excess. Based on qi deficiency, it is accompanied by blood stasis, phlegm and blood stasis or phlegm stasis. Conclusions: At present, the research on TCM syndrome types of SAP is still at the exploratory stage, and large sample TCM syndrome investigation is still needed to improve the reliability and scientificity.