基于文献的冠心病中医证型地域性分布特征研究

目的 研究近10年国内冠心病不同中医证型分布情况及不同地域的冠心病中医证型分布特征.方法 检索2000年1月至2011年2月中国期刊全文数据库(CNKI)公开发表的有关冠心病中医证型研究的文献,并按照不同地域进行归纳总结,研究冠心病中医证型在不同地域的分布特征.结果 10065例冠心病患者中医证型分布排名前8位依次为:痰阻心脉、气虚血瘀、心血瘀阻、气阴两虚、心肾阴虚、心阳虚衰、心气不足、气滞血瘀.不同地域证型分布,东北地区多见气虚血瘀证；华北地区多见痰瘀互结证；华东地区多见痰阻心脉证和气虚血瘀证；华中地区多见气虚血瘀及气阴两虚证；华南、西南和西北地区多见痰阻心脉证.结论 近10年国内冠心病中医证型分布实证多见于痰阻心脉、心血瘀阻,虚证多见于气阴两虚,虚实夹杂以气虚血瘀多见,不同地域冠心病中医证型分布有其自身特点.

Literature Study on the Regional Distribution Characteristics of TCM Syndromes of Coronary Heart Disease

Objective To study the distribution of different TCM syndromes of coronary heart disease (CHD) and their distribution characteristics in different regions in the recent 10 years. Methods Literature on TCM syndromes of CHD from January 2000 to February 2011 was researched from CNKI and summarized according to different regions to understand the distribution characteristics in different regions. Results Of the 10 065 cases, the top eight syndromes were phlegm obstructing the heart meridian, qi deficiency and blood stasis, blood stasis of the heart, deficiency of both qi and yin, yin deficiency of the heart and kidney, yang deficiency of the heart, qi deficiency of the heart, and qi stagnation and blood stasis. As for the syndrome distribution in different regions, the fact was that qi deficiency and blood stasis was common in the northeast region, phlegm and stasis in combination was mostly in the north China, phlegm obstructing the heart meridian and qi deficiency and blood stasis were popular in the east China, qi deficiency and blood stasis and deficiency of both qi and yin were often in central China, and the phlegm obstructing the heart meridian was mostly seen in the south China, southwest and northwest regions. Conclusion In the recent 10 years, the syndrome distribution of CHD in China is that the excess syndromes are mostly phlegm obstructing the heart meridian and blood stasis of the heart, while the deficiency syndrome is often deficiency of both qi and yin, and the complicated excess and deficiency syndrome is qi deficiency and blood stasis. In different regions, the TCM syndrome distribution of CHD has its own characteristics.