中风病发病时中医证候特点浅析  

Analysis of TCM syndromes at onset of stroke

作　　者：黄宇虹[1] 张伯礼[2] 

机构地区：[1]天津中医药大学第二附属医院,300150 [2]天津中医药大学,300193

出　　处：《天津中医药大学学报》2007年第2期59-60,共2页Journal of Tianjin University of Traditional Chinese Medicine

基　　金：国家"十五"科技攻关课题(2001BA701A12a)

摘　　要：[目的]比较分析缺血性、出血性中风起病时的证候特点。[方法]采用量表法,按标准操作规程搜集资料并进行数据统计分析。[结果]缺血、出血性中风起病时各证型的构成比例分别是风痰瘀阻证58.8%、41.2%,气虚血瘀证26.0%、29.0%,痰热腑实证21.1%、26.0%,阴虚风动证11.8%、16.9%,痰热内闭证6.2%、16.8%,痰湿蒙神证1.7%、9.9%。[结论]缺血性中风以风痰瘀阻证起病为多,出血性中风以痰热内闭证、痰湿蒙神证起病的发生率明显高于缺血性中风,符合出血性中风较缺血性中风病情凶险的特点。[Objective] To study the TCM syndromes at onset of ischemic and hemorrhagic stroke [Methods] The symptomatic data were obtained and analyzed statistically by scale evaluation and according to the standard operating procedure （SOP）. [Results] The proportion of each symptoms at the beginning ofischemic and hemorrhagic stroke was 58% and 41.2%, 26.0% and 29.0%, 21.1% and 26.0%, 11.8% and 16.9%, 6.2% and 16.8%, 1.7% and 9.9% in fengtanyuzu syndrome（type of windphlegm blocking）, qixuxueyu syndrome（blood stagnancy due to deficiency of QI）, tanresfushi syndrome （phlegm heat and excess of FU-organ）, yinxufengdong（wind syndrome due to deficiency of YIN）, tanreneibi syndrome （retention of phlegm-heat in the interior）, tanshimengshen syndrome （vertigo due to phlegm-damp） respectively. [Conclusion] The beginning syndrome is mostly appeared as wind-phlegm blocking in ischemic stroke. Retention of phlegm-heat in the interior and vertigo due to phlegm-damp are appeared mostly in hemorrhagic when compared with ischemic. It is consisted with the characters of that the hemorrhagic stroke is more dangerous than the ischemic one.

关 键 词：证候特点 出血性中风 缺血性中风 

分 类 号：R517[医药卫生—内科学]