基于中医证候要素的重症急性脑血管病的预后相关性研究  

Prognostic Correlation Study of TCM Syndrome Factors Based Severe Acute Cerebrovascular Disease

作　　者：徐良[1] 张伟骏[2] 陶水良[3] 裘涛[2] 

机构地区：[1]浙江省人民医院,浙江杭州310014 [2]浙江中医药大学第一临床医学院,浙江杭州310006 [3]浙江中医药大学基础医学院,浙江杭州310053

出　　处：《中国中医急症》2014年第10期1860-1862,共3页Journal of Emergency in Traditional Chinese Medicine

基　　金：浙江省教育厅科研项目(Y200804261)

摘　　要：目的探讨中医证候要素对重症急性脑血管病的预后判断作用。方法对31例重症急性脑血管病进行《缺血性中风证候要素诊断量表》量化评分。结果第1日美国国立卫生研究院卒中量表(NIHSS)评分与各指标均无显著相关性,第7日时,NIHSS评分与内风,痰湿正相关。第14日时,NIHSS评分与内风、痰湿、瘀、阴虚等均有一定的正相关。其中痰湿、阴虚与NIHSS评分显著相关。在第28日时,NIHSS评分与内风,痰湿,瘀,阴虚均有有显著正相关。结论重症急性脑血管病NIHSS评分评分与中医证候要素时间有一定的相关性,有助于对患者早期病情演变及预后判断。Objective： To explore the prognostic role of TCM syndrome factors of severe acute cerebrovascular disease. Methods： Diagnostic scale of ischemic stroke syndrome factors was assigned to 31 cases of severe acute cerebrovascular disease to collect quantified scores. Results： On the 1st day, NIHSS had no significant correlation with various indicators. On the 7th day, NIHSS had positive correlation with endogenous wind and phlegm-damp. On the 14th day, NIHSS had some positive correlation with endogenous wind,phlegm-damp,blood stasis, and de- ficiency of Yin. Among them,NIHSS was significantly related with phlegm-damp and deficiency of Yin. On the 28th day, NIHSS had significant positive correlation with endogenous wind, phlegm-damp, blood stasis, and defi- ciency of Yin. Conclusion： Severe acute cerebrovascular disease NIHSS score is related to the time factor of TCM symptoms,which contributes to early disease evolution and prognosis of patients.

关 键 词：重症急性脑血管病 中医症候 NIHSS评分 预后 

分 类 号：R543[医药卫生—心血管疾病]