对缺血性中风“风痰”证变化规律的探讨  

To Explore the Change Rule of Wind-phlegm Syndrome of Ischemic Stroke

作　　者：高宇[1] 耿晓娟[1] 朱亚萍[2] 董梅[3] 李良军[4] 徐翔[1] 王凌飞[2] 刘淑红[2] 张军平[2] 

机构地区：[1]天津中医药大学,天津300193 [2]天津中医药大学第一附属医院,天津300193 [3]天津医科大学,天津300070 [4]天津天士力集团,天津300400

出　　处：《中华中医药学刊》2010年第7期1399-1401,共3页Chinese Archives of Traditional Chinese Medicine

基　　金：国家重点基础研究发展计划(973计划)资助项目(2003CB517102)

摘　　要：目的:探讨缺血性中风急性期风痰证的演变规律。方法:对400例72h内入院的缺血性中风患者的组合证侯发生频次及风痰证演变过程中证素加减情况进行统计描述与分析,运用聚类分析方法对风痰证患者与NIHSS分值的关系进行研究。结果:证侯发生的概率是动态演变的,具有规律性,且无论在急性期还是恢复期,风痰证都占有很高的比例。结论:风痰证在中风患者证候分布中占有重要地位,风痰阻络是缺血性中风病急性期的基本病机。这一结论为临床确立风痰同治的基本治疗提供了有力的依据。Objective：To discuss the change rule of wind-phlegm syndrome of ischemic stroke in acute period.Methods：Among 400 patients within 72 hours,to describe the frequency of combination syndromes and analyze basic syndromes plus-minus in wind-phlegm syndrome change process,using cluster analysis to study the relationship between NIH score and wind-phlegm patients.Results：The ratio of syndrome is always developing and regularity.Wind-phlegm syndrome is the highest percentage in acute and recovering period.Conclusion：Wind-phlegm syndrome is main in all stroke syndromes,wind-phlegm stagnation is the basic cause of acute period of ischemic stroke.This conclusion afford power foundation for the therapy that wind and phlegm should be treated simultaneously.

关 键 词：缺血性中风 演变规律 风痰证 

分 类 号：R255.2[医药卫生—中医内科学]