目的:把握华北平原地区冠心病中医证候要素分布特征及组合规律。方法:通过对华北平原5省市的1007名冠心病患者进行中医证候要素分布及组合规律的临床横断面实地调查,以期能够把握该地区的冠心病中医证候特征规律。结果:证候要素出现频次由高到低依次为血瘀、气虚、痰浊、阴虚、气滞、阳虚、血虚、热蕴、水饮、寒凝;证候要素之间的组合以气虚+血瘀最为常见,其次为气虚+阴虚+血瘀、气虚+血瘀+痰浊、血瘀+痰浊、气虚+阴虚+血瘀+痰浊、气滞+血瘀。结论:华北平原地区冠心病患者中医证候多属本虚标实、虚实夹杂的复合证型,证候要素组合以气虚为本,血瘀为标,并可兼见阴虚、阳虚、痰浊、气滞等证。
Objective: To understand the distribution and combination characteristics of traditional Chinese medicine (TCM) syndrome elements of coronary artery disease (CAD) in north China plain. Methods: Through the clinical cross-sectionai survey for 1 007 CAD patients in 5 provinces and cities of north China plain, in order to grasp the distribution and combination characteristics of TCM syndrome elements of CAD in the area. Results: The most common syndrome element is blood stasis, followed by qi deficiency, phlegm retention, yin deficiency, qi stagnation, yang deficiency, xue deficiency, fire-heat, water retention, cold coagulation in sequence. The most common combination of syndrome elements is qi deficiency and blood stasis, then are qi deficiency, yin deficiency and blood stasis, qi deficiency, blood stasis and phlegm retention, blood stasis and phlegm retention, qi deficiency, yin deficiency, blood stasis and phlegm retention, qi stagnation and blood stasis. Conculsion: There are more compound syndrome types composed with several syndrome elements in the area, and the most common syndrome elements are blood stasis and qi deficiency.