脑梗死急性期大、小动脉病变证候要素比较研究  

Comparison of TCM syndrome factors between large and small artery diseases in acute cerebral infarction

作　　者：扎娃[1] 高芳[1] 张娜[1] 唐璐[1] 李学军[1] 杜辉君 王玉来[1] 陈志刚[1] 

机构地区：[1]北京中医药大学东方医院,北京100078 [2]山东省即墨市中医院

出　　处：《北京中医药大学学报（中医临床版）》2010年第3期1-4,共4页Journal of Beijing University of Traditional Chinese Medicine

摘　　要：目的探讨脑梗死急性期大动脉病变、小动脉病变证候要素的特点。方法将60例脑梗死急性期患者,根据缺血性脑血管病类肝素药物治疗急性缺血性脑卒中试验(TOAST)分型诊断标准结合影像学的方法,分为大动脉病变组27例、小动脉组病变组33例,对2组患者中风病的证候要素特点进行比较。结果脑梗死急性期大动脉病变组痰证、气虚证、血瘀证出现率明显高于小动脉病变组(P<0.05)。2组风证、火热证、阴虚证出现率比较无显著性差异(P>0.05)。大动脉病变组证候要素以2证相兼、3证相兼、多证相兼为主,小动脉病变组以2证相兼、单证为主。2组证候要素相兼分布比较,具有统计学差异(P<0.05)。结论脑梗死急性期大动脉病变、小动脉病变证候要素存在不同特点。Objective To discuss the characteristics of TCM syndrome factors of large and small artery diseases in acute cerebral infarction.Method According to classification and diagnostic criteria of TOAST and imageology, 60 patients with acute cerebral infarction were divided into the group of large artery diseases （n= 27） and the group of small artery diseases （n=33）.The characteristics of TCM syndrome factors in two groups were compared.Result In the group of large artery diseases the occurrence rates of phlegm syndrome, qi deficiency syndrome and blood stasis syndrome were higher significantly than those in the group of small artery diseases （P0.05）.The comparison in the occurrence rates of wind syndrome, fire-heat syndrome and yin deficiency syndrome between two groups had no significant difference （P0.05）.The syndrome factors were mainly two-syndrome combination, three-syndrome combination or multi-syndrome combination in the group of large artery diseases, while in the group of small artery diseases mainly two-syndrome combination and single syndrome.The distribution of syndrome factor combination in two groups was different statistically after compared （P0.05）.Conclusion There are different characteristics in syndrome factors of large and small artery diseases in acute cerebral infarction.

关 键 词：脑梗死急性期 大动脉病变 小动脉病变 证候要素 

分 类 号：R255.2[医药卫生—中医内科学]