高血压性脑卒中758例患者的脉压差与中医证型的分布规律探讨  

On the Correlation between TCM Pattern and Pulse Pressure of 758 Patients with Hypertension-related Cerebral Apoplexy

作　　者：向成斌[1] 刘德桓[2] 陈文鑫 

机构地区：[1]国立华侨大学医院,福建省泉州市华桥大学中区362000 [2]福建中医学院附属泉州市中医院 [3]泉州市医药研究所

出　　处：《世界中医药》2010年第1期15-17,共3页World Chinese Medicine

摘　　要：目的：通过对高血压性脑卒中患者不同的脉压差与中医讧型的分布情况进行分析研究，探讨脉压差与中医证型之间的规律。方法：按标准对758例高血压病合并脑卒中患者进行中医证候分型，并按脉压〈60mmHg、60—75mmHg、〉75mmHg将研究对象分为3组，分析比较各组中医证候分型的分布规律。结果：高血压性脑卒中的临床证型非常复杂，以两证组合三证及以上组合占多数。临床上不同的脉压，出现的中医临床证候数量也不相同，脉压越大出现的证型越多。不同的证型在脉压的大小方面，存在显著性差异，脉压越大，其高危率、极高危率越大。结论：阴虚风动证和风痰瘀阻证是高血压性脑卒中的主娶证型．Objective： To observe the correlation between TCM Pattern and the pulse pressure （PP） of the patients with hypertensionrelated cerebral apoplexy. Methods： The patients were differentiated in terms of TCM patterns, and divided to 3 PP groups （ 〈 60mm Hg, 60 - 75mm Hg, 〉 75mm Hg）. Results： We found hypertension -related cerebral apoplexy was of complicated TCM patterns, and the combination of two or three, or more patterns are very common. The number of TCM patterns that coexist varied according to different pulse pressure levels ： higher level of PP was usually accompanied by multiple patterns and more critical conditions. Conclusion： stirring wind due to yin deficiency and obstruction of wind-phlegm are the main pattern for hypertension-related cerebral apoplexy.

关 键 词：脑卒中 高血压 脉压差 中医证型 

分 类 号：R544.1[医药卫生—心血管疾病] R259.414[医药卫生—内科学]