摘要
目的探讨冠心病心绞痛患者不同中医辨证分型与生存质量的关系。方法收集冠心病心绞痛患者86例,中医辨证分为心肾阴虚证30例、气阴两虚证30例、气虚血瘀证26例,另选健康对照组40例。采用世界卫生组织生存质量测定量表简表(WHOQOL-BREF)、健康调查简表(SF-36)、西雅图心绞痛量表(SAQ)评定生存质量,比较分型与生存质量的相关性。结果心绞痛组患者WHOQOL-BREF各领域评分、SF-36各领域评分明显低于健康对照组,差异均有统计学意义(P<0.01);WHOQOL-BREF在生理领域心肾阴虚证患者评分低于气阴两虚证,SF-36评分心肾阴虚证患者在躯体角色方面低于气阴两虚证,在情感角色方面低于气虚血瘀证患者,差异有统计学意义(P<0.05)。SAQ评分除在心绞痛稳定状态方面气虚血瘀证高于气阴两虚证和心肾阴虚证外(P<0.05),其余项目各证型之间差异无统计学意义(P>0.05)。结论冠心病心绞痛患者的生存质量显著低于健康人群,不同中医证型之间患者生存质量评分水平不同。
Objective To study the relation between quality of life of the coronary heart disease （CHD） patients with angina pectoris and TCM syndromes types. Methods Eighty-six CHD patients with angina pectoris were collected,of them,30 patients were yin deficiency of heart and kidney,30 being both qi and yin deficiency,and 26 being qi deficiency with blood stasis. A control group was set up with 40 healthy people. World health organization quality of life brief scale （WHOQOL-BREF）,the MOS item short from health survey （SF-36）,and the Seattle angina questionnaire （SAQ） were used to evaluate the quality of life and analyze its correlation with TCM syndromes. Results All scores of WHOQOL-BREFResearch of the CHD patients with angina pectoris were significantly lower than those of the control group,and the difference was of statistical significance （P0.01）. The scores of WHOQOL-BREF of the patients of yin deficiency of heart and kidney were lower than those of patients of both qi and yin deficiency in the field of physical. SF-36 score of the patient with yin deficiency of heart and kidney was lower in role physical （RP） than that of the patients with both qi and yin deficiency,and the score of role emotional （RE） of them was lower than that of the patients with qi deficiency with blood stasis,the difference was statistically significant （P0.05）. Concerning stable state of angina pectoris,the SAQ score of those patients with qi deficiency with blood stasis was higher than that of those patients with both qi and yin deficiency and yin deficiency of heart and kidney （P0.05）,while there was no statistical difference among all the syndromes in other aspects （P0.05）. Conclusion The quality of life of the CHD patients with angina pectoris is significantly lower than that of healthy people,and the score of quality of life of patients with different TCM syndromes is different.
出处
《中医杂志》
CSCD
北大核心
2011年第10期841-843,共3页
Journal of Traditional Chinese Medicine
基金
国家重点基础研究发展计划("973"计划)资助项目(2003CB517103)
关键词
生存质量
冠心病
心绞痛
中医证型
quality of life
coronary heart disease with angina pectoris
TCM syndromes
