出血性中风急性期证候分布及变化规律分析  

Analysis on the Syndrome Distribution and Changing Law of Hemorrhagic Stroke in Acute Stage

作　　者：李建香[1,3] 过伟峰[1] 吴勉华[1] 顾锡镇[2] 王永生[2] 王敬卿[3] 赵扬[3] 邵凤扬[4] 陈隐漪[4] 张元兴 邵大飞 马海蓉[6] 何小刚[6] 路楷[7] 钱菊芬 张红新 

机构地区：[1]南京中医药大学,江苏省南京市210029 [2]江苏省中医院 [3]南京市中医院 [4]连云港市中医院 [5]常州市中医院 [6]昆山市中医院 [7]江阴市中医院 [8]张家港市中医院

出　　处：《中医杂志》2011年第11期938-940,共3页Journal 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(2006CB504807)

摘　　要：目的探讨出血性中风急性期证候分布及动态变化规律。方法将530例出血性中风急性期患者分为风证、火热证、痰证、血瘀证、气虚证、阴虚阳亢证、瘀热证7个基本证候,分别于入院时及入院后第3、5、7、11、21天共6个时间点进行证候调查,研究证候的分布、变化规律。结果出血性中风急性期证候分布呈现一定的规律性,各时间点瘀热证始终占据第一位,风证、火热证基本保持不变,随着时间延长,痰证比例下降,血瘀、气虚比例上升,阴虚阳亢证始终处于最后一位。将各证候例数按时间点进行纵向比较,差异有统计学意义(P<0.01)。结论瘀热证是出血性中风急性期的主要证候,火热证、风证为常见证候,呈现出向血瘀、气虚演变的趋势。Objective To explore the syndrome distribution and dynamic changing law of hemorrhagic stroke in acute stage.Methods Syndrome distribution and changing law of 530 cases of hemorrhagic stroke patients in the acute stage,who were diagnosed wind syndrome,fire-heat syndrome,sputum syndrome,blood stasis syndrome,qi deficiency syndrome,yin deficiency with yang hyperactivity syndrome,and blood stasis with heat syndrome respectively were observed when admitted,and on the 3rd,5th,7th,11th,and 21st days after admission.Results The syndrome distribution of hemorrhagic stroke patients in the acute stage presented a certain kind of regularity.At each time point,the blood stasis with heat syndrome was always as the first place;the wind and fire-heat syndromes remained unchanged;with the time going on,the proportion of phlegm syndrome went down,and the proportion of blood stasis and qi deficiency syndromes went up;and the yin deficiency with yang hyperactivity syndrome was always as the last place.There appeared statistical difference in the longitudinal comparison of time points with the number of cases（P0.01）.Conclusion The blood stasis with heat syndrome is the main syndrome of hemorrhagic stroke patients in the acute stage,the fire-heat and wind syndromes are the common ones,and the developing tendency is toward blood stasis and qi deficiency.

关 键 词：出血性中风 急性期 证候分布规律 瘀热证 

分 类 号：R255.2[医药卫生—中医内科学]