2022 年第 12 期 第 17 卷

心血管风险预警模型研究进展及冠心病合并糖尿病病证结合风险预警模型的构建设想

Research progress of cardiovascular risk early warning model and construction of early warning model of combining disease and syndrome of coronary atherosclerotic heart disease combined with diabetes mellitus

作者：马腾1杨继1田昕彤1曹路2杨旭2赵英强3李甜3

英文作者：Ma Teng1 Yang Ji1 Tian Xintong1 Cao Lu2 Yang Xu2 Zhao Yingqiang3 Li Tian3

单位：1天津中医药大学研究生院，天津301617；2天津市胸科医院心内科，天津300000；3天津中医药大学第二附属医院心内科，天津300250

英文单位：1Graduate School Tianjin University of Traditional Chinese Medicine Tianjin 301617 China; 2Department of Cardiology Tianjin Chest Hospital Tianjin 300000 China; 3Department of Cardiology Second Teaching Hospital of Tianjin University of Traditional Chinese Medicine Tianjin 300250 China

关键词：心血管疾病；冠心病（冠状动脉粥样硬化性心脏病）；糖尿病；预警模型；中医证素；危险因素

英文关键词：Cardiovasculardisease;Coronaryatheroscleroticheartdisease;Diabetesmellitus;Earlywarningmodel;TraditionalChinesemedicinesyndromeelements;Riskfactors

• 摘要：

• 冠心病（冠状动脉粥样硬化性心脏病）合并糖尿病（DCHD）较之单纯的2型糖尿病和冠心病，其心血管事件发生风险更高，危险程度更大。半个世纪以来，国内外均对各种类型的心血管风险预警模型进行过相关研究。另外，中医“治未病”理念与风险预警不谋而合。选择DCHD患者，充分结合现代医学疾病的发病因素和中医证素，构建DCHD病证结合风险预警模型，可为临床中西医结合预防和早期干预DCHD个体病情加重提供科学依据。本文就国内外心血管风险预警模型研究进展和DCHD病证结合风险预警模型的构建设想进行系统论述。

• Compared with pure type 2 diabetes mellitus or coronary atherosclerotic heart disease, coronary atherosclerotic heart disease combined with diabetes mellitus (DCHD) has a higher risk of cardiovascular events. For half a century, relevant researches have been conducted on various types of cardiovascular disease risk early warning models at home and abroad. In addition, the concept of "preventing disease" in traditional Chinese medicine(TCM) coincides with risk warning. Fully combining the pathogenic factors of modern medical diseases and TCM syndromes in DCHD patients, constructing a risk warning model of DCHD combined with syndromes, may provide scientific basis for the clinical combination of TCM and western medicine to prevent and early intervention for DCHD aggravation. This article systematically discusses the research progress of cardiovascular risk early warning models at home and abroad and the construction of early warning model of combining disease and syndrome of DCHD.