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不稳定型心绞痛患者证候要素的 Logistic 回归分析。

Logistic regression analysis of syndrome essential factors in patients with unstable angina pectoris.

机构信息

Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing 100053, China.

出版信息

J Tradit Chin Med. 2011 Dec;31(4):273-6. doi: 10.1016/s0254-6272(12)60003-x.

Abstract

OBJECTIVE

To explore the correlation between common syndrome essential factors and the symptoms and signs of unstable angina (UA).

METHODS

Eight hundred and fifteen patients with UA confirmed by coronary angiography were identified from several centers. Common syndrome essential factors were selected on the basis of expert experience. The correlations between common syndrome essential factors and symptoms and signs of UA were analyzed using binary logistic regression analysis.

RESULTS

The common syndrome essential factors in unstable angina were blood stasis, qi stagnation, phlegm turbidity, heat stagnancy, qi deficiency, yin deficiency, and yang deficiency. Symptoms such as chest pain, hypochondriac distention, ecchymosis, dark orbits, dark and purplish tongue, and tongue with ecchymosis and petechiae were significant diagnostic features of "blood stasis". Aversion to cold and cool limbs, weakness in the waist and knees, and clear abundant urine were significant diagnostic features of"yang deficiency". These results were in accordance with the understanding of traditional clinical Chinese medical practice.

CONCLUSION

This clinical study analyzed the correlations between common syndrome essential factors and the symptoms and signs of unstable angina. The results provide the basis for establishing diagnostic criteria for syndrome essential factors.

摘要

目的

探讨不稳定型心绞痛常见证候要素与症状、体征的相关性。

方法

从多个中心选取 815 例经冠状动脉造影确诊的不稳定型心绞痛患者,根据专家经验选取常见证候要素,采用二分类 Logistic 回归分析方法分析常见证候要素与不稳定型心绞痛症状、体征的相关性。

结果

不稳定型心绞痛的常见证候要素为血瘀、气滞、痰浊、热结、气虚、阴虚、阳虚。胸痛、两胁胀闷、瘀斑、黑眼圈、舌紫暗、舌有瘀斑和瘀点等症状是“血瘀”的显著诊断特征。怕冷、四肢发凉、腰膝酸软、小便清长是“阳虚”的显著诊断特征。这些结果与传统临床中医实践的认识是一致的。

结论

本临床研究分析了常见证候要素与不稳定型心绞痛症状、体征的相关性,为证候要素诊断标准的确立提供了依据。

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