缺血性中风起始态腑实证情况的初步研究  

Preliminary Study on the Distribution of Fu-organ Excess Syndrome in the Initial State of Ischemic Stroke

作　　者：汪峰[1] 尤劲松[2] 黄培新[2] 

机构地区：[1]广州中医药大学附属中山医院,广东省中山市康欣路3号528400 [2]广州中医药大学第二附属医院

出　　处：《中医杂志》2011年第9期767-769,共3页Journal of Traditional Chinese Medicine

摘　　要：目的探究缺血性中风起始态腑实证分布规律。方法收集2003年11月~2008年5月缺血性中风患者病历503例,根据病历资料填写自拟《缺血中风起始态腑实证分布情况调查表》,进行证候诊断,统计其证候分布。结果腑实证可合并风、火、痰、瘀、气虚、阴虚阳亢任一证候出现,以火证出现比例最高为73.68%,中脏腑合并腑实证比例（75.61%）高于中经络（45.45%）,腔隙性脑梗死合并腑实证比例少于部分前循环梗死和后循环梗死（P〈0.05）。结论腑实证可作为缺血性中风起始阶段常见的一个独立证候,病情重者腑实证出现比例高。Objective To explore the distribution law of Fu-organ excess syndrome in the initial state of ischemia stroke.Methods The records of 503 cases of ischemic stroke from November 2003 to May 2008 were collected.Based on these records,the Form of Distribution of Fu-organ excess Syndrome in the Starting State of Ischemia Stroke was filled in for syndrom diagnosis,and the distribution of Fu-organ excess syndrome was statistically calculated.Results The Fu-organ excess syndrome could appear in combination with either wind,fire,phlegm,stasis,qi deficiency,or yin deficiency exuberant yang,although the fire syndrome appeared most often,being 73.68%.The occurrence of Zangfu stroke combined with Fu-organ excess syndrome was 75.61%,higher than that of Jingluo（meridian） stroke（45.45%）.The occurrence of lacunar circulation infarction（LACI） combined with Fu-organ excess syndrome was less than that of partial anterior circulation infarction（PACI） and posterior circulation infarction（POCI）（P0.05）.Conclusion Fu-organ excess syndrome can occur as an independent manifestation of initial stage of ischemic stroke.Those who in critical pathological condition are likely to have Fu-organ excess syndrome.

关 键 词：缺血性中风 腑实证 证候 

分 类 号：R255.2[医药卫生—中医内科学]