应用广义规则归纳法探讨中风急性期证候演变规律  

Use of generalized rule induction to study the evolution rules of syndrome of acute ischemic stroke

作　　者：辛喜艳[1] 常静玲[2] 高颖[2] 

机构地区：[1]北京大学第三医院中医科,北京100191 [2]北京中医药大学东直门医院脑病科,北京100700

出　　处：《中华中医药杂志》2016年第10期3985-3988,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家自然科学基金项目(No.81541170);北京市科委课题(No.D08050703020805)~~

摘　　要：目的:研究缺血性中风病急性期证候演变规律。方法:对804例发病72h内入院的中风病急性期患者进行动态临床信息采集。应用《缺血性中风证候要素诊断量表》判断证候要素,采用广义规则归纳法对入院第1-2天,3-5天,6-8天3个时间段总计804例临床数据进行分析,研究中风发病早期各时段的证候演变规律。结果:入院后第1-2天、3-5天诊断为痰湿证的患者入院后第6-8天仍保持痰湿证的可能性大;入院后第1-2天、3-5天为内火证的患者入院后第6-8天仍为内火证的可能性大;入院后第1-2天为阴虚证的患者入院后第3-5天至入院后第6-8天仍为阴虚证。结论:中风病急性期发病1周内痰湿证、内火证维持时间较长,不易变化,临床应积极予清热化痰治疗。Objective： Investigate the evolution rules of syndrome of acute ischemic stroke. Methods： Clinical information of 804 patients presenting with acute ischemic stroke（AIS） within 72 hours of onset were incrementally included. Evaluating syndrome characteristics over different periods of time with Ischemic Stroke TCM Syndrome Factor Diagnostic Scale. Generalized rule induction were used to study syndrome evolution characteristics of three time periods（onset 1-2 days, 3-5 days, 6-8 days） of 804 patients. Results： Patients with a diagnosis of phlegm dampness at 1-2 days, 3-5 days after admission still further into the original syndromes at 6-8 days, and the same with fire and yin deficiency syndrome. Conclusion： Phlegm dampness and fire syndrome are persistent factor in acute ischemic stroke, and corresponding intervention treatment should be positively.

关 键 词：中风病急性期 证候演变 广义规则归纳法 

分 类 号：R255.2[医药卫生—中医内科学]