急性脑梗死病因病机临床初步分析  

A preliminary clinical analysis on pathogenes and pathogenesis of acute cerebral infarction

作　　者：苏占清[1] 丁莹[1] 陆倩[1] 陶家平[1] 康冰[1] 

机构地区：[1]南京医科大学附属脑科医院中医科,210029

出　　处：《国际中医中药杂志》2013年第12期1059-1061,共3页International Journal of Traditional Chinese Medicine

摘　　要：目的 从中西医结合的角度探析急性脑梗死的病因病机特点.方法 对64例急性脑梗死患者的舌象、脉象内容进行归类统计,计算其出现频次及构成比等;对患者血压及实验室检查结果进行描述统计,计算其均值及标准差等.结果 患者舌质暗红48次（77.4％）;苔薄腻34次（54.8％）;苔腻黄或微黄20次（323％）;弦滑脉41次（64.1％）;收缩压（systolic blood pressure,SBP）、总胆固醇（totalcholesterol,TC）、白细胞（white blood cel,WBC）计数、中性粒细胞百分比（neutrophil percentage,NEUT％）、空腹血糖（fasting plasma glucose,FPG）、糖化血红蛋白（hemoglobin A1c,HbA1c）的均值及标准差分别为（141.20±19.20）mm Hg（1 mm Hg=0.133 kPa）、（4.47±0.97） mmol/L、（7.83±2.63）×109/L、（71.61±9.65）％、（6.16±2.25） mmol/L、（6.60±1.66）％.结论 病因方面,风、瘀、热（火）、浊（痰湿等）在急性脑梗死的发病中起着重要作用;病机特点,正气尚充、邪气盛实.血压、血糖、血脂等结果在脑梗死的病因、病机的判定中所起作用有待进一步探讨.Objective To explore pathogenes and pathogenesis of acute cerebral infarction （ACI） from the perspective of integrated traditional and western medicine. Methods To categorize the tongue and pulse manifestation of 64 ACI patients and calculate their frequency, constituent ratios. Meanwhile, patients＇ blood pressure and laboratory examination results are given descriptive and statistical analysis, showing their means and standard deviations, etc. Results The frequency of dark-red tongue ,thin-greasy tongue fur, greasy-yellow tongue fur and taut-slippery is respectively 48, 34, 20, and 41, constituting 77.4%, 54.8%, 32.3%, 64.1% of the patients examined respectively; Mean and standard deviation of systolic blood pressure （SBP）, total cholesterol （TC）, white blood cell （WBC）, neutrophil percentage （NEUT%）, fasting plasma glucose （FPG）, and hemoglobin Ale （HbAlc） is respectively （ 141.20± 19.20） mm Hg （1 mm Hg=0.133 kPa）, （4.47±0.97） mmol/L, （7.83±2.63） 109/L, （71.61±9.65） %, （6.16±2.25） mmol/L, and （6.60±1.66） %. Conclusion In terms of pathogens, wind, stasis, heat （fire） and turbid pathogen （phlegm, dampness, etc.） are important factors in bringing out ACI; In respect of ACI pathogenesis characteristics, healthy qi is slightly damaged and pathogenic qi is exuberant. Yet, the role of modem medical examination results, such as blood pressure, blood glucose, blood lipids etc. in the assessment of ACI pathogens and pathogenesis awaits fiarther exploration.

关 键 词：急性脑梗死 中医 西医 病因 病机 

分 类 号：R743.33[医药卫生—神经病学与精神病学]