进展性脑梗死中医证型系统综述  

To Review the Progress of TCM Syndrome of Cerebral Infarction System

作　　者：于娓娓[1] 李敬林[2] 

机构地区：[1]辽宁中医药大学 [2]辽宁中医药大学,附属医院内分泌科,沈阳110032

出　　处：《实用中医内科杂志》2014年第5期1-2,7,共3页Journal of Practical Traditional Chinese Internal Medicine

摘　　要：[主要目的]分析进展性脑梗死中医汪型。[资料来源]选取辽宁中医药大学附属医院神经内科2012年1月至2014年3月住院进展性脑梗死患者。[选择文献量及依据]①研究类型:临床观察。②研究对象:符合急性脑梗死诊断标准,符合WHO 1999年制定的糖尿病诊断标准;入院后病情进行性加重>2d;中医四诊资料齐全;同一患者反复入院症状发生变化时重复纳入,无明显变化时仅纳入第一次入院情况。③诊断分型:风痰阻络、痰瘀阻络、痰热腑实,气虚血瘀、阴虚风动。④评价指标:NIHSS评分、中医证型等。排除中医四诊资料不全;治疗过程随意暂停服用药物;脑肿瘤及其他恶性肿瘤、脑出血;风湿性心脏痛、心房纤颤;类风湿及血液系统疾病;肝、肾疾病。[数据提炼规則及应用方法]所有患者入院时和发病48-72h之间分别进行美国国立卫生研究院NIHSS评分,获得评分增加数。中医证型(风疾阻络、痰瘀阻络、痰热腑实、气虚血瘀、阴虚风动),以证型出现频次排列。使用Excel2010软件建立数据库,将进展性脑梗死患者中医证型进行例数统计,计算频率。[数据综合得出结果与结论]NIHSS评分均有明显升高(P<0.01),合并糖尿病升高高于不合并糖尿病(P<0.05)。糖尿病合并进展性脑梗死证型排序:痰瘀阻络>痰热腑实>气虚血瘀>风痰阻络>阴虚风动。糖尿病提高急性进展性脑梗死发病比例,发病年龄年轻化,病变程度严重。痰瘀阻络是进展性脑梗死主要证型。[未来展望]扩大样本量,做进一步调查研究,为进展性脑梗死的预防及辨证施治提供科学依据。[ Main Object ] Analysis of TCM syndrome of cerebral infarction. [ Data Source ] Select Hospital Affiliated Hospital of Liaoning University of Traditional Chinese Medicine in 2012 January to 2014 March in Department of inlernal medicine patients with progressive cerebral infarction. [ Literature Selection and Criterion ] The research type： clinical observation. The object of study： diagnosis of acute cerebral infarction with diabetes diagnosis standard, the standard WHO enacted in 1999 ; after admission condition progressive ~ 2D; Chinese medical materials are complete; the same patients with recurrent symptoms during admission changes repeat into, no obvious change when only into the first admission condition. The diagnosis type： wind phlegm, phlegm and blood stasis, phlegm heat, Qi deficiency and blood stasis, deficiency of Yin Fu real wind. The evaluation index： NIHSS score, TCM syndrome type. Out of four diagnostic methods of TCM incomplete treatment process; optional suspend drugs; brain cancer and other malignant tumor, cerebral hemorrhage; rheumatic heart disease, atrial fibrillation; rheumatoid and blood system diseases; liver, kidney disease. [ Data Extracting and Method ] NIHSS American NIH scores were carried out between all patients on admission and the incidence of 48 - 72h, obtained by increasing the number of scoring. TCM syndrome type （ wind phlegm, phlegm and blood stasis, phlegm beat, Qi deficiency and blood stasis, deficiency of Yin Fu real wind ）, the syndrome lype frequency arrangement. Database is set up using Excel2010 software, the TCM syndrome in patients with cerebral infarction in patients number statistics, calculation of frequency. [ Results and Conclusions ] NIHSS scores were significantly increased （ P〈 0.01 ）, diabetes mellitus increased than those in patients without diabetes （P 〈 0.05 ） . Diabetic patients with progressive cerebral infarction syndrome sort ：phlegm phlegm heat accumulation of qi deficiency and blood stasis. Yin wind wind phlegm. Acute pro

关 键 词：进展性脑梗死 中风 中医证型 NIHSS评分 糖尿病 循证医学 系统综述 

分 类 号：R255-2[医药卫生—中医内科学] R743.3[医药卫生—中医学]