心力衰竭中医证候客观化的文献研究

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AbstractObjective：ToreviewtheresearchliteraturesandachievementsontheobjecticationoftraditionalChinesemedicinesdromes ofeartfaiure，toprovidereferencesfortheresearchandaplicationofsydromesofeartflureMethods：Tedatabasewasearhd foriteraturerelatedtjectifationofraditionalChiesemedicinesyndromesineartfaluefromteestablishmentoftdatabaseto 30June，023ndeesusreaalysdtommarisetheesearchfininonthjectiatioofartfluresdrossults： Atotalof219iatuddittitsoigeticatodotaecyofo was1015 times.The types of diseases included chronic heart failure（130 articles， 59.36% ），coronaryheartfailure（26articles， 11.87% ） heart failure with preserved ejection fraction（9 articles， 4.11% ）.Objective research was mainly conducted based on syndrome type differentiation（202articles， 92.24% ）orsyndromeelementdifferentiation（17articles， 7.76% ）.The218objectified indicatorsby diagnostic methodsincluded clinical laboratory indicators（97 items， 44.50% ），echocardiographic indicators（43items， 19.72% ），molecular biology indicators（24items， 11.01% ），andotherauxiliaryexaminationindicators（54items， 24.77% ）.Multipleindicatorsshowed differentsyndromes of heartfalure.Leftvntricularjectionfraction（LVEF），bainatriureticpeptide（BP），ndN-terminalprbainnatriureticetide （NT-proBNP）wereposivelycorrelatedwiththedegreesofQideficiencyandYangdfcencyinpaientswithheartfailureTheleft ventricularend-diastolicdiameter（LVEDD）showedcertainreferencevalueinthediagnosisof waterretentionsyndromeandYang deficiencysyndrome.Thchangesincardiacdiastolicfunctionindicatorssuchaspeakbloodflowintheearlydiastole（E）peakbloodflow inthelatediastole（A）relatedYindeficencyandQideficiencyConcusionTeoverallvelofbjectivestudyontesyndromeofhart failureintradioalCiesedicineodontiuousimprovementichaseflectedintefiementoficacaiatioof heartfailure，teontiuousexpansionofrsearchindicatorsandtheomprehensiveresearchtecniques.Thecurrentresearchsowed problems suchasinconsistent diagnosis of heartfailure，complex indicators，insuffcient promotionandapplication.

Keywordsheart failure; traditional Chinese medicine syndromes; objective indicators;literature review

辨证论治是中医学的精髓，传统中医辨证是通过望、闻、问、切等手段，根据病人症状及舌脉等四诊表现司外揣内的思维辨析过程。（剩余13107字）