| 摘要: |
| 目的：比较心系病患者常见证型的脉象分布差异，探索弦脉的特征性脉象参数，为中医临床心系病的脉诊提供客观依据。方法：运用ZM-Ⅲc型智能脉象仪收集入选患者的脉象信息，将入选患者分为气血虚、阴虚、阳虚、气阴两虚、气滞、寒凝、血瘀、痰饮8种证型，探索其脉象分布特点与差异，并进一步寻找弦脉的特征性脉象参数。结果：在211例心脏病患者中，以气阴两虚型、气滞型、血瘀型较为多见，脉象分布以结代脉和弦脉为多，差异有统计学意义（P<0.01）；h3、h4、h5、h3/h1、h4/h1、h5/h1、w对弦脉的诊断价值较高，其中h3的ROC曲线下面积达0.847，其敏感性和特异性分别为：0.879、0.808。结论：脉象仪可为临床心系病诊治过程中的辨证分型提供准确、可靠的客观依据，当心系病患者出现弦脉时，可初步推断患者的外周阻力高、血管弹性差，对心系病患者的预后判断有一定的参考价值。 |
| 关键词: 心系病 中医证型 脉象特征 |
| DOI： |
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| Pulse manifestation features of patients with common syndrome types of heart system diseases |
| HU Zhenqing,WU Yulin,QI Xin |
| (Tianjin University of Traditional Chinese Medicine，Tianjin 300193，China;Tianjin People′s Hospital，Tianjin 300121，China) |
| Abstract: |
| Objective：To investigate the difference in pulse manifestation between patients with common syndrome types of heart system diseases and the characteristic pulse manifestation parameters of wiry pulse，and to provide an objective basis for pulse diagnosis of heart system diseases in clinical practice of traditional Chinese medicine.Methods：The ZM-IIIc intelligent pulse apparatus was used to collect the pulse manifestation of the patients enrolled in the study.These patients were divided into groups according to the 8 syndrome types：deficiency of Qi and blood，Yin deficiency，Yang deficiency，deficiency of both Qi and Yin，Qi stagnation，cold coagulation，blood stasis，and phlegm retention.The distribution characteristics and differences in pulse manifestation were analyzed，and the characteristic pulse manifestation parameters of wiry pulse were determined.Results：Among the 211 patients with heart diseases，most of them had the syndrome types of deficiency of both Qi and Yin，Qi stagnation，and blood stasis，and knotted & intermittent pulse and wiry pulse were the most common pulse manifestations（P<0.01）.The parameters of h3，h4，h5，h3/h1，h4/h1，h5/h1，and w had a high value in the diagnosis of wiry pulse，among which h3 had a sensitivity of 0.879，a specificity of 0.808，and an area under the receiver operating characteristic curve of 0.847.Conclusion：The pulse apparatus can provide accurate and reliable objective evidence for syndrome differentiation and typing during the diagnosis and treatment of heart system diseases in clinical practice.Wiry pulse in patients with heart system diseases may suggest high peripheral resistance and poor vascular elasticity，which has a certain value in prognostic evaluation of patients with heart system diseases. |
| Key words: heart system disease traditional Chinese medicine syndrome type pulse manifestation feature |
