下肢动脉硬化闭塞症疗效评价指标分布的文献研究  

Literature research on efficacy evaluation indexes distribution in arteriosclerosis obliterans of lower extremity

作　　者：余威[1] 张凡帆[1] 庞鹤[1] 

机构地区：[1]北京中医药大学东方医院周围血管科,北京100078

出　　处：《北京中医药》2013年第2期98-100,共3页Beijing Journal of Traditional Chinese Medicine

摘　　要：目的探讨下肢动脉硬化闭塞症(ASO)疗效评价指标的分布规律,明确目前用于ASO疗效评价的症状条目、体征条目。方法总结近10年涉及下肢ASO临床观察的文献资料,对用于疗效评价的症状条目、体征条目进行频次分析。结果用于临床疗效观察的主要症状有间歇性跛行、患肢疼痛、患肢麻木、患肢静息痛等,体征主要涉及患肢皮温、溃疡、患肢皮色的变化描述,临床疗效评价的症状、体征条目分布较为集中。结论用于ASO的临床疗效观察指标与用于临床辨证诊断的条目仍有较大区别。应结合临床实际特点,研究出一套适合于本病的、用于评价不同证型疗效的、具有中医特色的疗效评价体系。Objective To explore the distributed law of efficacy evaluation indexes in arteriosclerosis obliterans（ASO） of lower extremity to be clear on items of symptom and sign for efficacy evaluation of ASO.Methods Related literatures of clinical observation about ASO of lower extremity for recent 10 years were summarized.The items of symptom and sign for efficacy evaluation were analyzed in frequency.Results The main symptoms for clinical observation of efficacy included intermittent claudication,soreness,numbness and rest pain in affected extremity and so on,while signs mainly involved skin temperature,ulcer and skin color change in affected extremity.In general,the items of symptom and sign for clinical efficacy evaluation had a concentrated distribution.Conclusion There are great differences between the indexes of clinical efficacy observation and items of clinical syndrome differentiation and diagnosis for ASO.Combined with clinical features,a system of efficacy evaluation that is suitable for ASO should be studied,which could be applied to evaluate the efficacy of different syndromes with TCM characteristics.

关 键 词：动脉硬化闭塞症 疗效评价 症状 体征 文献分布 

分 类 号：R259[医药卫生—中西医结合]