冠心病心绞痛蒙医证型诊断标准研究

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1、冠心病心绞痛蒙医证型诊断标准研究作者：苏和,黄燕,张松波,巴特金,乌汗毕力格,莫日根图,韩非,赵哲炜【摘要】目的对冠心病心绞痛的蒙医证型进行统计学分析,筛选对证型诊断有意义的指标,制定冠心病心绞痛蒙医证型的诊断标准。方法按照西医冠心病心绞痛诊断标准选入病例,进行临床观察并填写病例观察表,对每份观察表信息进行辨证并做出相应的证型诊断；根据证型分组,进行统计学分析,筛选对证型诊断有意义的指标。结果经对410例患者资料进行辨证分析,冠心病心绞痛蒙医证型分布为楚斯型358例,粘邪型23例,胃痧型29例。通过对各证型之间的症状及辅助检查指标进行统计分析,制定出了冠心病心绞痛蒙医证型的诊断标准。结论本研

2、究通过病证结合临床研究模式总结了冠心病心绞痛的蒙医证型诊断标准,为蒙药的合理应用提供了理论基础。【关键词】冠心病心绞痛；蒙医证型；诊断标准；临床研究Abstract：ObjectiveTocarryonstatisticalanalysisoftradtionalmongolianmedicinesyndromeinanginapectorisofcoronaryheartdisease,findoutthesignificativeindicesforsyndromediagnosis,andestablishthediagnosticcriteriaoftradtionalmongoli

3、anmedicinesyndromeinanginapectorisof13coronaryheartdisease.MethodsCasesofanginapectorisofcoronaryheartdiseasewereselectedaccordingtomodernmedicaldiagnosticcriteria.Clinicalobservationswerecarriedonandclinicalinformationwasfilledintheformsoftheclinicalcases.Eachcasewasdifferentiatedandmadecorrespond

4、ingdiagnosisofsyndromeaccordingtotradtionalmongolianmedicine.Clinicalcasesweregroupedaccordingtosyndromeoftradtionalmongolianmedicineanddecidedthesignificativeindicesbystatisticalanalysis.ResultsFourhundredandtencasesweredifferentiatedwhichcontaintradtionalmongolianmedicineinformationaboutanginapec

5、torisofcoronaryheartdisease,including358casesofChuSisyndrome,23casesofNianXiesyndrome,and29casesofWeiShasyndrome.Throughstatisticalanalysisofthevarioussyndromesandtheobjectiveindices,diagnosticcriteriaoftradtionalmongolianmedicinesyndromeinanginapectorisofcoronaryheartdiseasewasestablished.Conclusi

6、onDiagnosticcriteriaoftradtionalmongolianmedicinesyndromeinanginapectorisofcoronaryheartdiseasewassummarizedbycombinationofdiseaseandsyndrome,andprovidesatheoreticalbasisfortheresonableapplicationofmongolianherb.13Keywords：anginapectorisofcoronaryheartdisease；tradtionalmongolianmedicinesyndrome；dia

7、gnosticcriteria；clinicalresearch心血管疾病已成为影响人类健康的头号杀手,其中绝大多数是由冠状动脉粥样硬化所致。随着人们生活水平的迅速提高,本病近年来呈增长趋势。冠心病心绞痛属于蒙医学“心刺痛”范畴,目前对冠心病心绞痛蒙医证型的诊断尚未完全一致。本研究收集410例包含蒙医信息的冠心病心绞痛患者的临床资料进行统计学分析,并结合专家意见,初步建立了冠心病心绞痛蒙医证型的诊断标准。