卒中痉挛性瘫痪患者中医证型与颈动脉彩超的关系  

Relationship between Apoplexy Spastic Paralysis TCM Types and Carotid Artery Color Ultrasound

作　　者：王彩娟[1] 陆红艳 焦久存[1] 周贵福[1] 

机构地区：[1]石家庄市中医院,石家庄050000 [2]石家庄市福利院

出　　处：《浙江中医药大学学报》2012年第11期1181-1182,1193,共3页Journal of Zhejiang Chinese Medical University

基　　金：河北省中医药管理局科研计划项目(2011114)~~

摘　　要：[目的]了解脑卒中痉挛性瘫痪患者中医证型与颈动脉内-中膜增厚及斑块形成的关系。[方法]对99例患者进行中医证候分布规律调查,分析中医证型与颈动脉内-中膜增厚及斑块形成的关系。[结果]卒中痉挛性瘫痪患者中医单证出现率以痰证和瘀证最高,颈动脉管腔狭窄患者痰证、瘀证及气虚证的出现率明显高于无狭窄患者;颈动脉粥样硬化不稳定斑块患者气虚证的发生率明显高于稳定斑块患者。[结论]脑卒中痉挛性瘫痪患者常伴有颈动脉硬化,以痰证和瘀证为主要病理表现;正气虚损的患者病情易于复发。[Objective] To understand the relation between cerebral apoplexy spastic paralysis TCM types and carotid artery internal-tunica media incrassation and plaque formation.[Method] Make investigation to 99 cases of apoplexy TCM syndromes distribution rules,analyse the relation between TCM types and carotid artery internal-tunica media incrassation and plaque formation.[Result] In such patients,TCM single syndrome rate is mostly of sputum and stasis;the sputum,stasis and deficiency in narrow lumen of carotid artery are more than those without narrow lumen;the Qi deficiency rate of unstable plaque of carotid atherosis is much more than stable plaque.[Conclusion] Cerebral apoplexy spastic paralysis is often accompanied with carotid atherosis,mainly showing sputum and stasis symptoms;the patients with vital Qi deficiency tend to relapse.

关 键 词：脑卒中痉挛性瘫痪 中医证型 动脉硬化 斑块 

分 类 号：R658[医药卫生—外科学]