文献类型：期刊文献

中文题名：慢性心力衰竭患者中医辨证分型与生活质量的相关性研究

英文题名：Study on Correlation between Differentiation of Syndromes in Chinese Medicine of Patients with Chronic Heart Failure and Life Quality

作者：温鑫洋[1];金华[2];刘志军[2];窦荣海[3];曹强[2];卢玉俊[4]

第一作者：温鑫洋

机构：[1]中国医科大学航空总医院;[2]甘肃中医药大学;[3]西固区人民医院;[4]甘肃中医药大学附属医院

第一机构：中国医科大学航空总医院

年份：2016

卷号：23

期号：6

起止页码：633

中文期刊名：中国中医药科技

外文期刊名：Chinese Journal of Traditional Medical Science and Technology

基金：甘肃省教育厅科研项目(1106B-09)

语种：中文

中文关键词：心力衰竭,充血性;慢性病;辨证分型;生活质量;人类

外文关键词：heart failure; congestive; chronic disease; differentiation of syndromes; quality of life; human being

摘要：目的:探讨心力衰竭患者中医辨证分型与生活质量的相关性。方法:采集152例慢性心衰患者的基本资料;中医辨证分为心肺气虚、血瘀饮停,气阴两虚、心血瘀阻,阳气亏虚、血瘀水停和肾精亏损、阴阳两虚4个证型组。采用MOS SF-36量表中文版进行患者生存质量问卷调查,并对收集到的资料进行统计分析。结果:152例心衰患者中医证型分布频率从高到低次序为:阳气亏虚、血瘀水停证51例(33.55%),心肺气虚、血瘀饮停证38例(25.00%),气阴两虚、心血瘀阻证35例(23.03%),肾精亏损、阴阳两虚证28例(18.42%)。不同中医证型,年龄差异不明显(P>0.05)。性别对生活质量无显著影响(P>0.05)。RP和VT 2个健康维度受增龄影响较为明显(P<0.05)。152例患者PF、GH、RE和MH等4个健康维度在不同中医证型间差异有显著统计学意义(P<0.05)。结论:不同中医证型心衰患者生活质量差异显著,阳虚、血瘀、水饮、阴阳两虚是影响心衰患者生活质量的主要因素。
Objective： To explore the correlation between differentiation of syndromes in Chinese medicine of chronic heart failure（ CHF） and life quality. Methods： Basic information of 152 CHF patients were collected.The patients were classified as four groups by different TCM syndromes：（ a） Qi- deficiency on cardiopulmonary,blood- stasis and stop- drinking;（ b） Qi and Yin- deficiency and blood- stasis;（ c） Yang- deficiency,blood- stasis and water- stop;（ d） loss of kidney essence and deficiency on both Yin and Yang. MOS SF- 36（ Chinese version） rating scale was carried out to apply a questionnaire. The collected data was statistics analyzed. Results： Descending order of TCM syndromes of the four groups was： Yang- deficiency,blood- stasis and water- stop（ 51 cases,33. 55%）,Qi- deficiency on cardiopulmonary,blood- stasis and stop- drinking（ 38 cases,25%）,Qi and Yin- deficiency and blood- stasis（ 35 cases,23. 03%）,loss of kidney essence and deficiency on both Yin and Yang（ 28 cases,18. 42%）. Distribution of different TCM syndromes shown no evident discrepancy on different ages（ P〈0. 05）. Two health dimensions（ RP and VT） were more obviously affected by increasing age. Four health dimensions（ PF,GH,RE and MH） of the 152 patients had significant differences（ P〈0. 05） between different TCM syndrome. Conclusion： The life quality of CHF patients are quite different to their TCM syndromes. Yang- deficiency,blood- stasis,water- drinking,and deficiency on both yin and yang are the main factors that affect the life quality of CHF patients