259例中风病中医辨证分型与CT的关系  

RELATIONSHIP BETWEEN THE CHINESE MEDICAL TYPING BASED ON DIFFERENTIATION OF SYMPTOMS AND SIGNS AND CT CHARACTERISTICS IN 259 CASES WITH ACUTE CEREBROVASCULAR DISORDERS

作　　者：李京[1] 李家邦[1] 易正佳 梁清华[1] 王小宜[2] 唐北沙[3] 

机构地区：[1]湖南医科大学中西医结合研究所 [2]湖南医科大学湘雅医院放射科 [3]湖南医科大学湘雅医院神经内科

出　　处：《湖南医科大学学报》1994年第3期211-213,共3页Bulletin of Hunan Medical University

摘　　要：对259例中风病进行中医辨证分型与 CT 对比分析,发现中经络组的脑出血和脑梗塞发生率相近,出血量偏小,腔隙性梗塞多,预后较好,中脏腑组以脑出血为主,出血量大,预后差;气虚血瘀证组的脑梗塞较重,预后欠佳;痰热内闭心窍证组的脑出血量偏小,伴有感染,预后差;脱证多为严重脑出血,预后极差。提示中风病的 CT 表现与中医辨证有一定关系,CT 可作为中风病辨证的参考。The article compared determining the pathogenesis of traditional Chinese medicine (TCM) based on the differentiation of symptoms and signs with CT characteristics in 259 cases with a-cute eerebrovascular accidents. The results showed that in the group of apoplexy involving the channels and their collaterals, the incidences of cerebral infarction (CI) and cerebral hemorrhage (CH) were not.different; the volume of hemorrhage was little; sinusoid infarctions happened frequently and the prognosis was favourable. In the group of apoplexy inv01ving'the viscera and hollow organs, the incidence of CH was the main phenomenon ; the volume of hemorrhage was great; there often happened the original and following intraven- tricular hemorrhage (IVH), cerebral edema and brain stem hemorrhage and the prognosis was bad. In the group of deficiency of vital energy and blood stasis syndrome, seriously CI was dominant and the prognosis was not good enough. In the group of mental disorder due to the stagnation of phlegm-heat in the heart syndrome, though the volume of hemorrhage was not. great mainly, the prognosis was poor due to the inflammation in the lungs. In the group of collapse syndrome, CH was the most serious and the prognosis was the worst among all the groups. The results suggested that CT characteristics of acute stroke was related to de- termining the the pathogenesis of TCM based on the differentiation of symptoms and signs. The CT characteristics could be considered as a reference to determination of the pathogenesis of TCM based on the differentiation of symptoms and signs in acute apoplexy.

关 键 词：中风 CT 辨证分型 中医学 

分 类 号：R255.204[医药卫生—中医内科学] R816.1[医药卫生—中医学]