急性脑梗死中医辨证分型与经颅多普勒相关性研究  

Discussion on the Correlation between the TCM Syndrome Differentiation of Acute Cerebral Infarction and Transcranial Doppler

作　　者：张永全[1] 熊瑜[2] 褚斐[3] 

机构地区：[1]广西中医学院附属瑞康医院,南宁530011 [2]广西中医学院,南宁530011 [3]广西中医学院硕士生,南宁530011

出　　处：《中国中医急症》2009年第9期1450-1452,共3页Journal of Emergency in Traditional Chinese Medicine

基　　金：广西壮族自治区教育厅科研项目(No.200710LX008)

摘　　要：目的探寻脑梗死患者中医辨证分型与经颅多普勒(TCD)检测结果的相关性。方法将入选的138例急性脑梗死患者进行中医辨证分型,并设正常对照组25例。对不同证型的急性脑梗死患者的TCD检测结果进行比较,然后分别与正常对照组比较。结果急性脑梗死脑动脉不同血流速度患者的中医证型分布存在差异。血流速度增快组以肝阳暴亢、痰热腑实型为多;血流速度减慢组以气虚血瘀、风痰阻络型为多。急性脑梗死中医各证型脑动脉狭窄的发生率明显高于正常对照组;肝阳暴亢、阴虚风动证显著高于气虚血瘀证。除气虚血瘀证外,脑梗死中医各证型颅内及颈部各血管的PI、RI值显著高于正常对照组;肝阳暴亢、痰热腑实、风痰阻络、阴虚风动证显著高于气虚血瘀证。结论急性脑梗死患者的中医辨证分型与TCD检查结果存在相关性。Objective： To discuss the correlation between the acute cerebral infarction （ACI） and transcranial doppler （TCD） . Methods： The 138 cases with ACI were taken syndrome differentiation according to the tradition Chinese medicine （TCM）, and 25 health cases were selected as the normal control group. The TCD of different types of ACI patients were compared, and then were compared with the normal control group. Results： There was a difference among the TCM syndromes of different brain artery blood stream paces. Most of the syndrome of liver Yang hyperactivity and phlegm-heat accumulation showed faster brain artery blood stream pace, but most of the syndrome of Qi deficiency, blood stasis and wind-phlegm showed slower. The rate of the different syndromes of ACI patients cerebrovaseular stenosis were significantly higher than normal control group and the syndrome of liver Yang hyperactivity. Meanuhile that of the Yin deficiency and wind act were significantly higher than the syndrome of Qi deficiency and blood stasis. The PI and RI of the different groups of ACI patients were significantly higher than normal control group except the syndrome of Qi deficiency and blood stasis. The syndromes of liver Yang hyperactivity, phlegm-heat accumulation, wind-phlegm, Yin deficiency and wind act were significantly higher than the syndrome of Qi deficiency and blood stasis. Conclusion： The TCM syndromes of acute cerebral infarction were correlated with TCD.

关 键 词：急性脑梗死 中医辨证分型 经颅多普勒 

分 类 号：R743.9[医药卫生—神经病学与精神病学]