痰证病机对出血性中风急性期病情及预后影响的相关性研究  

The Study on the Effect of Phlegm Syndrome on Acute Stage of Hemorrhagic Stroke Severity and Prognosis

作　　者：王智强[1] 崔春丽[2] 过伟峰[3] 

机构地区：[1]江苏省南京市中西医结合医院,江苏南京210000 [2]江苏省中医院,江苏南京210000 [3]南京中医药大学,江苏南京210029

出　　处：《中国中医急症》2015年第6期941-942,945,共3页Journal of Emergency in Traditional Chinese Medicine

基　　金：国家重点基础研究发展计划(973计划)资助项目(2006CB504807)

摘　　要：目的探讨痰证病机对出血性中风急性期病情及预后影响的相关性。方法将926例出血性中风急性期患者分为痰证组与非痰证组,分别于第0、3、5、7、11、21日进行临床观察,比较两组治疗前后发病情况、中风病类诊断评分、格拉斯哥评分(GCS)、修正的RANKIN评分。结果痰证病机在发病时占重要地位,为出血性中风发病重要组成证候。病程第0、11、21日,痰证组中风病类诊断评分、GCS评分、修正RANKIN标准评分分值均明显高于非痰证组(均P<0.01)。两组发病时与病程第21日中风病类诊断评分、GCS评分、修正RANKIN标准评分差值比较则差别不大(P>0.05)。结论痰证是出血性中风的主要证候,痰证患者比非痰证患者病情为重,预后较差。Objective： To explore the effect of phlegm syndrome on acute stage of hemorrhagic stroke severity and prognosis. Methods： 926 cases of patients with acute hemorrhagic stroke were divided into the phlegm group and the nonphlegm group, respectively clinically observed on the zeroth, 3 rd, 5 th,7 th, 11 th, 21 st day. The in- cidence, the diagnostic score of stroke disease, Glasgow score （GCS）,the modified RANKIN score before and after the treatment were compared. Results： Phlegm occupied an important position at onset,as an important compo- nent of stroke syndrome hemorrhage syndrome. At onset, duration of zeroth, eleventh,twenty-first day, stroke diag- nostic score,GCS score,modified RANKIN standard scores of the phlegm group were significantly higher than those of the nonphlegm group （all P〈 0.01）. On the 21 st day,stroke disease diagnostic score,GCS,modified RANKIN standard score in both groups were different, however,without statistical significance（P〉 0.05 ）. Conclu- sions： The phlegm syndrome is a main syndrome in hemorrhagic stroke. Patients with phlegm syndrome are heav- ier and poorer in prognosis than those with nonphlegm syndrome.

关 键 词：出血性中风急性期 痰证 病机 临床流行病学调查 

分 类 号：R255.2[医药卫生—中医内科学]