脑梗死肝阳化风证临床辨证标准与神经功能缺损评分、实验诊断指标间的相关性分析  

Correlative Analysis on Clinical Syndrome Standards, Neurological Deficit Score and Laboratory Diagnosis Indicators in Wind Syndrome Caused by Hyperactive Liver Yang of Cerebral Infarction

作　　者：相玲丽[1] 易振佳[1] 金益强[1] 尹耀慧 胡建军 

机构地区：[1]中南大学湘雅医院中西医结合研究所,湖南长沙410008 [2]晋江市安海医院,福建晋江362261

出　　处：《中国中医药信息杂志》2009年第5期13-14,共2页Chinese Journal of Information on Traditional Chinese Medicine

基　　金：湖南省卫生厅中医药科研基金(06206)

摘　　要：目的探讨脑梗死肝阳化风证的临床辨证标准与神经功能缺损程度、辅助实验诊断指标之间的关联性。方法收集60例临床上辨证为肝阳化风证的脑梗死患者的证候积分、临床神经功能缺损程度评分及实验诊断指标[血浆皮质醇(F)、血栓素B2(TXB2)、去甲肾上腺素(NE)及血清三碘甲状腺原氨酸(T3)]的数据,用统计学方法分析三者之间的关联性。结果证候积分与神经功能缺损程度评分和血浆F、NE、TXB2呈正相关,与血清T3呈负相关,经检验,有统计学意义。结论神经功能缺损评分和实验诊断指标能显著提高临床辨证标准的客观性,建立证候积分、神经功能缺损评分和4项实验诊断指标的综合辨证标准有临床使用价值。Objective To explore the relationship of clinical syndrome standards, neurological deficit score and laboratory diagnosis indicators in cerebral infarction identified as wind syndrome caused by hyperactive liver yang. Methods Sixty patients with cerebral infarction that identified as wind syndrome caused by hyperactive liver yang were collected, and clinical syndrome standards, neurological deficit score and laboratory diagnosis indicators were analyzed by statistical method. Results Syndromes integral has positive correlation with neurological deficit score, plasma cortisol, plasma thromboxane B2 and plasma norepinephrine, while negative with serum T3, with statistic significance. Conclusion Neurological deficit score and laboratory diagnosis indicators can significantly improve clinical standards of objectivity. Establishment of a comprehensive standard syndrome of integral syndrome, neurological defects and four laboratory diagnosis indicators has clinical value.

关 键 词：脑梗死 肝阳化风证 证候积分 神经功能缺损评分 皮质醇 血栓素B2 去甲肾上腺素 

分 类 号：R277.733.3[医药卫生—中医学]