“瘀热”病机对脑出血急性期病情及预后的影响  

Influence of Pathogenesis "Stasis-heat" on the Pathological Condition and Prognosis of Cerebral Hemorrhage in Acute Stage

作　　者：徐丹[1] 张兰坤[1] 过伟峰[1] 吴勉华[1] 周学平[1] 李国春[1] 叶放[1] 邵大飞[2] 刘英姿 李建香[4] 

机构地区：[1]南京中医药大学,江苏省南京市210029 [2]江苏省常州市中医院 [3]江苏省镇江市中医院 [4]江苏省南京市中医院

出　　处：《中医杂志》2011年第22期1922-1924,1938,共4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"瘀热"病机对脑出血急性期病情及预后的影响。方法收集脑出血急性期患者518例,将患者分为瘀热组和非瘀热组,于发病时、病程第11、21天3个时间点比较两组患者脑出血量、中风病类诊断评分、格拉斯哥预后评分(GOS评分)。结果瘀热组第0、11天时脑出血量均明显高于非瘀热组,差异有统计学意义(P<0.05或P<0.01);瘀热组第0、21天时中风病类诊断评分、GOS评分明显高于非瘀热组(P<0.01)。结论脑出血急性期瘀热患者较非瘀热患者脑出血量大、病情重、预后差。Objective To study the influence of pathogenesis stasis-heat on the pathological condition and prognosis of cerebral hemorrhage in acute stage.Methods Totally 518 cases of cerebral hemorrhage in acute stage were collected and were divided into stasis-heat group and non-stasis-heat group.On the onset of disease,the 11th day,and the 21st day in the course of disease,cerebral hemorrhage quantity,diagnostic score of stroke disease,and Glasgow outcome score（GOS） of the two groups was compared.Results The cerebral hemorrhage quantity in the stasis-heat group on the first onset and 11th day was significantly more than that of the non-stasis-heat group,and the difference was statistically significant（P0.05 or P0.01）.The diagnostic score of stroke disease and the GOS score in the stasis-heat group on the first onset and 21st day were significantly higher than those of the non-stasis-heat group（P0.01）.Conclusion The cerebral hemorrhage quantity of the cerebral hemorrhage patients in acute stage with the pathogenesis stasis-heat is more than that of those who are not with the pathogenesis stasis-heat,the pathological condition of these patients is more serious,and their prognosis is poor.

关 键 词：脑出血 急性期 瘀热 病机 病情 预后 

分 类 号：R277.7[医药卫生—中医学]