中风病急性期病灶CT定性定位规律研究  

Study of the rule of CT nature and orientation on the acute stage of stroke

作　　者：侯键[1] 余朝骏[1] 李明富[1] 

机构地区：[1]成都中医药大学附院,四川成都610072

出　　处：《中国中西医结合影像学杂志》2005年第2期86-89,共4页Chinese Imaging Journal of Integrated Traditional and Western Medicine

基　　金：国家中医药管理局科学技术研究基金2000~2001年资助项目(编号:00~01LQ13)

摘　　要：目的:探索中风病急性期各证病灶性质及分布的规律性。方法:通过采用前瞻性、双盲法对117例中风病急性期患者头颅CT表现,包括病变的性质、病灶部位、脑室的改变等进行观察,并做统计学处理。结果:中经络证与中脏腑证在病变性质上由缺血性病变逐渐向出血性病变发展所占比例增多,各证的病变部位有一定的变化规律:随病情的加重,中经络证(1型、2型)到中脏腑闭证(阴闭、阳闭)、中脏腑脱证的病变部位从外围脑叶至脑干脑室所占比例逐渐增加。结论:中风急性期各证的病变性质与病变部位有一定的规律性,临床辨证与治疗时可以作为客观参考指标。Objective:To explore the rule of CT nature and orientation on the acute stage of stroke.Methods:With prospective and double blind procedure research ways,studied CT imaging of 117cases patients on the acute stage of stroke included nature,position,changes of ventricle and dealt with statistics process.Results:Zhongjingluo syndrome and Zhongzangfu syndrome increased scales of cases from ischemia to hemorrhagic changes on nature and from lobe of brain to brain stem and ventricle on orientation with the state of an illness aggravation.Conclusion:There was regularity in every syndrome of the acute stroke on pathological changes and orientation,which could be an objective index for differentiation and treatment.

关 键 词：中风 辨证分型 计算机断层摄影术 X线检查 定性检查 定位检查 

分 类 号：R816.1[医药卫生—放射医学]