%0 Journal Article
%T 冠心病合并高尿酸血症中医证候分布及相关因素分析
Analysis of TCM Syndrome Distribution and Related Factors of Coronary Heart Disease Complicated with Hyperuricemia
%A 王优
%J Advances in Clinical Medicine
%P 12481-12488
%@ 2161-8720
%D 2023
%I Hans Publishing
%R 10.12677/ACM.2023.1381750
%X 目的：探讨冠心病合并高尿酸血症患者的中医证型分布特点，分析各影响因素与中医证型之间的关系，加深对该合并病发生发展规律的认识。方法：选取我院于2022年1月到2023年1月收治的172名明确诊断为冠心病合并高尿酸血症患者，对其进行临床资料信息收集。结果：60岁以上中老年人居多，≥80岁组患者血尿酸水平最高；男性患者血尿酸水平高于女性；冠心病合并高尿酸血症的中医证型分布由高到低依次为：痰瘀互结证81例(48.3%) > 气阴两虚证47例(26.2%) > 心气不足证26例(15.1%) > 气虚血瘀证18例(10.5%)；性别、高脂血症、各证型在血尿酸水平的差异有统计学意义(P < 0.05)；各证型间比较有统计学差异，不同证型的分布在年龄、低密度脂蛋白、胆固醇、甘油三酯、血尿酸、心律失常、高脂血症在不同证型的差异均有统计学意义(P < 0.05)；低密度脂蛋白、胆固醇、甘油三酯，痰瘀互结证组均高于气虚血瘀组，高于心气不足证组，高于气阴两虚证组，差异有统计学意义(P < 0.05)；结论：男性性别、痰瘀互结证最多见，是独立的影响因素，应多关注该类型患者血尿酸水平。
Objective: To explore the distribution characteristics of TCM syndrome types in patients with coro-nary heart disease (CHD) complicated with Hyperuricemia, analyze the relationship between vari-ous influencing factors and TCM syndrome types, and deepen the understanding of the occurrence and development of the disease. Methods: 172 patients with coronary heart disease complicated with Hyperuricemia who were admitted to our hospital from January 2022 to January 2023 were selected for clinical data collection. Result: The majority of middle-aged and elderly people over 60 years old have the highest blood uric acid levels in patients ≥ 80 years old; Male patients have higher levels of blood uric acid than females; The distribution of TCM syndrome types of coronary heart disease with Hyperuricemia from high to low is: 81 cases (48.3%) of phlegm and blood stasis syndrome > 47 cases (26.2%) of qi and yin deficiency syndrome > 26 cases (15.1%) of heart qi defi-ciency syndrome > 18 cases (10.5%) of qi deficiency and blood stasis syndrome; There were statis-tically significant differences in blood uric acid levels among gender, hyperlipidemia, and various syndrome types (P < 0.05); There are statistical differences among different syndrome types. The distribution of different syndrome types in age, low-density lipoprotein, cholesterol, triglycerides, blood uric acid, arrhythmia, and hyperlipidemia has statistical significance (P < 0.05); The levels of low-density lipoprotein, cholesterol, triglycerides, and the combination of phlegm and blood stasis syndrome group were higher than those in the Qi deficiency and blood stasis syndrome group, higher than those in the Heart Qi Deficiency syndrome group, and higher than those in the Qi Yin Deficiency syndrome group, with statistical significance (P < 0.05); Conclusion: Male gender and phlegm stasis syndrome are the most common and independent influencing factors, and more at-tention should be paid to the blood uric acid level of this type of patient.
%K 冠心病，高尿酸血症，中医证型，痰瘀互结
Coronary Heart Disease
%K Hyperuricemia
%K Traditional Chinese Medicine Syndrome Types
%K Intertwined Phlegm and Blood Stasis
%U http://www.hanspub.org/journal/PaperInformation.aspx?PaperID=70384