30例慢性脑循环不全证候分布系统综述  

Chinese Syndromes of 30 Chronic Cerebrociculatory Insufficiency Patients

作　　者：张娜[1] 唐媛[2] 李楠楠[2] 陈志刚[1] 

机构地区：[1]北京中医药大学东方医院脑病一科,北京100078 [2]北京中医药大学

出　　处：《实用中医内科杂志》2015年第2期7-8,共2页Journal of Practical Traditional Chinese Internal Medicine

基　　金：教育部"211工程"三期建设项目重大;难治性疾病"病络"学说研究

摘　　要：[主要目的]分析慢性脑循环不全证候分布规律。[资料来源]选取北京中医药大学东方医院神经内科2011年6月至2012年12月慢性脑供血不足门诊及住院患者病历。[选择文献量及依据]纳入①年龄45~80岁,性别不限。②符合诊断标准。③接受中药治疗、配合相关检查。排除①精神障碍等。②严重肝肾功能障碍、急性心梗、上消化道出血等。共纳入30例门诊及住院病历。[数据提炼规则及应用方法]按中医证候学量表,入组即进行证候学量表评分,符合证候大≥3项可判定为有。神经内科两名副高以上职称医师质量控制。使用Microsoft Excel2013建数据库,分析CCCI证候规律。[数据综合得出结果与结论]髓亏（100%）〉气虚（83%）〉阳虚（70%）〉痰浊（63%）〉血虚（60%）。火热、风证、血瘀、阴虚表现不明显,符合髓亏证,虚实夹杂,气虚、阳虚、血虚为主,实为痰浊。[未来展望]进一步扩大样本量深入研究。[Purpose]To analyse clinical data of Chronic cerebrociculatory insufficiency（CCCI） patients. [Source]Randomly select outpatients and inpatients with CCCI from June 2011 to December 2012 in Neurology Department,Dongfang Hospital, Beijing University of Chinese Medicine. [Inclusion criteria and Exclusion criteria] Inclusion criteria.①Aged 45~80 years old, male or female.②Conform to the diagnostic criteria.③Voluntary to Chinese medicine and relevant checks. Exclusion criteria.①Patients with mental disorders.②Severe liver or kidney dysfunction, acute myocardial infarction, upper gastrointestinal bleeding,etc. medical records of 30 cases of outpatients or inpatients. [Method]According to CCCI TCM Syndrome Scale Score, TCM symdrome diagnosed by two TCM neurology professors. Establish a database using Microsoft Excel 2013 then analysis CCCI Syndromes. [Results] Sui deficiency（100%）〈 QI deficiency（83%）〈Yang deficiency（70%）〈Phlegm（63%）〈Blood deficiency（60%）. Hot syndrome, Wind syndrome, blood stagnation, Yin deficiency is not obvious in CCCI patinets. TCM syndrome of CCCI patients include deficiency and excess syndromes, deficiency syndromes include QI, Yang and Blood deficiency, excess syndrome is mainly Phlegm.[Prospect]Our research analysed TCM Syndrome of CCCI patients in order to guide clinical treatment.We shoule study more patients in future.

关 键 词：慢性脑供血不足 证候分布 髓亏 气虚 阳虚 痰浊 血虚 循证医学 回顾性研究 系统综述 

分 类 号：R743.31[医药卫生—神经病学与精神病学]