急性缺血性脑卒中病人Barthel指数与中医证型的相关性分析  

Correlation between Barthel Index and Traditional Chinese Medicine Syndromes in Patients with Acute Ischemic Stroke

作　　者：符茂东 张雯[1] 李笑笑[1] 李鑫[1] 蔡定芳[1] 张宇浩[1] Fu Maodong;Zhang Wen;Li Xiaoxiao;Li Xin;Cai Dingfang;Zhang Yuhao(Zhongshan HospitaI,Fudan University,Shanghai 200032,China)

机构地区：[1]复旦大学附属中山医院,上海200032

出　　处：《中西医结合心脑血管病杂志》2018年第16期2300-2303,共4页Chinese Journal of Integrative Medicine on Cardio-Cerebrovascular Disease

基　　金：上海市卫生局中医药科研基金项目(No.2012L086A)

摘　　要：目的探讨急性缺血性脑卒中病人临床预后与中医证型的相关性。方法选取符合急性缺血性脑卒中诊断标准的病人200例,比较不同证型病人发病时(0d)及发病后14 d、30 d及90 d的Barthel生活指数(BI)评分。结果风中脑络-瘀血型、风中脑络-阴虚型:0d及发病后30 d与发病后14 d比较、发病后90 d与发病后30 d BI评分比较,差异均有统计学意义(P <0.05);风中脏腑-阳闭型BI评分:0d及发病后30 d与发病后14 d比较,差异均有统计学意义(P <0.05)。结论不同中医证型病人BI评分不同时间有明显差异,中医证型有助于判断急性缺血性脑卒中的临床预后。Objective To investigate the correlation between clinical prognosis and traditional Chinese medicine（TCM）syndromes in patients with acute ischemic stroke.MethodsTwo hundreds patients with acute ischemic stroke were enrolled in the study.The Barthel index（BI）of the onset（0 d）,14 days after onset（14 d）,30 days after onset（30 d）,and 90 d after onset（90 d）were scored in patients with different TCM syndromes.ResultsThere was significant difference in the BI in blood stasis syndrome and yin deficiency syndrome between 0 d,30 d and 14 d,90 d and 30 d （P〈 0.05）.There was significant difference in the BI in yangbi syndrome between 0 d,30 d,and 14 d （P〈 0.05）.ConclusionThere are significant differences in BI between different TCM syndromes at different time points.TCM syndromes help to determine the clinical prognosis of acute ischemic stroke.

关 键 词：缺血性脑卒中 Barthel生活指数 中医证型 临床预后 

分 类 号：R743[医药卫生—神经病学与精神病学] R255.2[医药卫生—临床医学]