急性缺血性脑卒中合并SIRS中医证候分布规律研究  

Study on the Distribution of Acute Ischemic Stroke in Combination with SIRS TCM Syndrome

作　　者：崔传峰 韩宁[2] 董晓斌[2] CUI Chuan-feng;HAN Ning;DONG Xiao- bin(Zouping County TCM Hospital, Zouping, Shandong, China ,256200;The Affiliated Hospital Attached of Shandong University of TCM, Ji＇nan, Shandong, China ,250014)

机构地区：[1]邹平县中医院,山东邹平256200 [2]山东中医药大学附属医院,山东济南250014

出　　处：《河南中医》2018年第4期564-567,共4页Henan Traditional Chinese Medicine

基　　金：山东省中医药科技发展计划项目(编号:2011-040)

摘　　要：目的:采用聚类分析探讨急性缺血性脑卒中合并SIRS中医证候分布规律。方法:本研究所选病例均来自2011年6月至2012年3月山东省千佛山医院神经内科病房住院的患者,入选患者200例,填写临床信息采集表,运用聚类分析研究急性缺血性脑卒中合并SIRS中医证候分布规律。结果:症状指标描述分类:第一类以风证为主,第二类以火证为主,第三类以痰证为主。聚类结果:第一类为风火上扰证,第二类为痰瘀阻窍证,第三类为痰湿蒙窍证,第四类为气阴两虚证,第五类为气虚瘀阻证,第六类为阴虚阳亢证。结论:风、火、痰是急性缺血性脑卒中合并SIRS的主要病机。Objective：To explore distribution laws of acute ischemic stroke in combination with SIRS TCM syndrome by using cluster analysis.Methods：Two hundred patients who were hospitalized in Neurology Department of Qianfo Hill Hospital of Shandong Province between June 2011 and March 2012 were chosen as the research subjects.Clinical information collection table was filled in to explore distribution laws of acute ischemic stroke in combination with SIRS TCM syndrome by using cluster analysis.Results：The symptom index description classification：the first class was mainly with wind syndrome,the second type was mainly fire syndrome,and the third type was phlegm syndrome.The clustering results were as follows：The first type was wind-fire attacking upward.The second type was phlegm stagnancy blocking orifices.The third type was accumulation of phlegm-damp in orifices.The fourth type was deficiency syndrome of both qi and yin.The fifth type was stagnation syndrome due to qi deficiency.The sixth type was yang hyperactivity syndrome due to yin deficiency.Conclusion：Wind,fire and phlegm are the main pathogenesis of acute ischemic stroke combined with SIRS.

关 键 词：急性缺血性脑卒中 SIRS 中医证候 聚类分析 风 火 痰 

分 类 号：R255.2[医药卫生—中医内科学]