海南地区中风病患者急性期中医证候的分布  

Study of Distribution Regularity of TCM Syndromes of Acute Stroke in Hainan Province

作　　者：张冠壮[1] 黄宏敏[1] 许玉皎[1] 陈琪[1] 赵光峰[1] 王家艳[1] 刘卫花[1] 刘德浪 

机构地区：[1]海南省中医院神经内科,海口570203

出　　处：《世界中医药》2017年第12期3175-3178,共4页World Chinese Medicine

基　　金：海南省自然科学基金课题(20158372)

摘　　要：目的:探讨海南地区中风病患者急性期中医证候的分布规律。方法:采用前瞻性临床调查,选取2015年1月至2016年12月海南省琼中县(中部)、琼海市(东部)、儋州市(西部)、乐东县(南部)中医院近年来神经内科中风病急性期住院病例300例,所有病例患者在72 h内入院并自入院当天至发病14 d。参照《中风病辨证诊断标准》的六大基本证候因素,风证、火热证、痰湿证、血瘀证、气虚证、阴虚阳亢证加以辨证,同时进行单证及复证的分布分析。结果:海南地区300例中风患者急性期中医证候分布以风证、血瘀证、痰湿证、气虚证为主,其中3种证候组合表达为常见,复合证中以风痰瘀、风瘀虚证为多。结论:海南地区中风病急性期患者中医证候以单证为主,中医证候要素组合主要以3种证候要素组合表达的例数最为多见,发病主要以风痰瘀、风瘀虚所占比例为最高,火热证的出现多伴随有痰湿,阴虚阳亢证在急性期较为少见。证候体现了中风病传统病机,可以使复杂证候简单化,可以灵活准确的反映证候的动态、复杂、多变的特性,为证候的规范化和辨证的灵活性之间构筑一定的联系。Objective： To study the distribution regularity of syndromes of stroke in patients with acute stroke in Hainan. Methods：Prospective clinical survey was used. In total 300 cases of acute stroke hospitalized patients in the department of neurology of the traditional Chinese medicine hospital of Qiongzhong（ Central）,Qionghai（ East）,Danzhou（ West） and Ledong（ Southern） area in recent years were chosen. All cases were admitted to the hospital within 72 hours and were admitted to the hospital for 14 days. According to the six basic syndromes of syndrome differentiation of stroke,the syndrome of wind syndrome,heat syndrome,phlegm dampness syndrome,blood stasis syndrome,qi deficiency syndrome,yin deficiency and yang hyperactivity syndrome,and the distribution of documents were taken for analysis. Results： The TCM syndromes of 300 stroke patients in the acute period in Hainan Province were mainly characterized by wind syndrome,blood stasis syndrome,phlegm dampness syndrome and qi deficiency syndrome. Among them,the three syndromes were expressed as common. In the compound syndrome,wind phlegm and blood stasis and wind-stasis deficiency syndrome were the most. Conclusion： TCM syndromes of patients with acute stroke in Hainan area are predominantly manifested by single syndrome. The main components of syndromes are mainly wind phlegm and blood stasis. Acute fever is accompanied by phlegm. Yin deficiency syndrome in the acute phase is relatively rare. This study reflects the traditional pathogenesis of stroke,and it can simplify the complex,dynamic,and varied characteristics flexibly of syndromes. It also lays foundation for the standardization of syndrome and dialectical flexibility.

关 键 词：中风病急性期 中医证候 海南地区 分布规律 

分 类 号：R229[医药卫生—中医基础理论]