急性缺血性中风后认知功能减退的证候要素特征  

Characteristic of TCM Syndrome Factors of Cognitive Function Impairment After Ischemic Stroke

作　　者：赵振武[1] 谢颖桢[1] 马洪明[1] 孟繁兴[2] 

机构地区：[1]北京中医药大学东直门医院,北京100700 [2]北京中医药大学东方医院,北京100078

出　　处：《辽宁中医杂志》2010年第2期208-210,共3页Liaoning Journal of Traditional Chinese Medicine

摘　　要：目的:研究缺血性中风后认知功能减退证候要素及演变的特征。方法:对新发脑梗死非痴呆入院患者筛选后应用蒙特利尔认知评估量表(北京版)动态多时点评定认知功能把握特征后分组,并进行组间证候要素比较。结果:组间比较火、痰、气虚、阴虚、肾虚出现显著差异。中风急性期火证突出,恢复期痰证、气虚证、阴虚证明显,肾虚贯穿始终。结论:火、痰、气虚、阴虚、肾虚很可能为中风后认知功能减退的主要证候要素。Objective：To study characteristic of syndrome factors and their evolvement of cognitive function impairment after ischemic stroke.Methods：The cognitive function of patients in hospital with cerebral infarction no dementia were evaluated dynamically with Montreal Cognitive Assessment（MoCA）Beijing Version after IQCODE screens at different phase points.Its characteristic was Abstracted and used to grouping.Each syndrome factor was compared within groups.Results：The remarkable factors after comparison of groups are huo,tan,qi deficientcy,yin deficiency and kidney deficiency.Huo is prominent at acute period and tan,qi deficiency and yin deficiency are distinct later.Kidney deficiency runs through all the time.Conclusion：The research indicates that the main factors inducing cognitive function impairment of ischemic stroke in all probability are huo,tan,qi deficiency,yin deficiency and kidney deficiency.

关 键 词：缺血性中风 认知功能 证候要素 

分 类 号：R743.3[医药卫生—神经病学与精神病学]