后循环缺血病因病机临床初步分析  

A Preliminary Clinical Analysis of Pathogenes and Pathogenesis of Posterior Circulation Ischemia

作　　者：苏占清[1] 宁厚旭[1] 陶家平[1] 杨宁[1] 陆倩[1] 王海东[1] SU Zhanqing;NING Houxu;TAO Jiaping;YANG Ning;LU Qian;WANG Haidong(Nanjing Brain Hospital Affiliated to Nanjing Medical University,Nanjing 210029,Jiangsu,China)

机构地区：[1]南京医科大学附属脑科医院

出　　处：《辽宁中医药大学学报》2018年第9期24-27,共4页Journal of Liaoning University of Traditional Chinese Medicine

摘　　要：目的：从中西医结合的角度探析后循环缺血的病因病机特点。方法：对138例后循环缺血患者的舌诊、脉诊内容进行归类统计,计算其出现频次及构成比等;对患者血压、脉率、体温及实验室检查结果进行描述统计,计算其均值及标准差等。结果：患者舌黯118次,占85.51%;舌质黯红49次,占35.51%;苔薄腻99次,占71.74%;苔腻黄或微黄31次,占22.46%;弦滑脉73次,占52.90%;收缩压（SBP）、脉率（PR）、体温（T）、白细胞（WBC）计数、中性粒细胞百分比（NEUT%）、空腹血糖（FPG）、糖化血红蛋白（Hb A1c）、总胆固醇（TC）的均值及标准差分别为（131.83±11.68）mm Hg、（75.80±4.72）bpm、（36.52±0.25）℃、（5.58±1.67）×10^9/L、59.37%±8.56%、（5.51±1.49）mmol/L、6.30%±1.14%、（4.37±0.95）mmol/L。结论：就病因而言,瘀、浊（痰湿等）、风、热（火）在后循环缺血的发病中起着重要作用;就病机特点而言,正气尚充、邪气偏实。然而,血压、血糖、血脂等现代医学中的检查结果在后循环缺血的病因、病机的判定中起着怎样的作用仍有待进一步探讨。Objective：To explore pathogenes and pathogenesis of posterior circulation ischemia（PCI）from the perspective of combination of traditional Chinese and Western medicine. Methods：To categorize the tongue and pulse manifestation of 138 PCI patients and calculate their frequency,constituent ratios. Meanwhile,patients＇ blood pressure,pulse rate（PR）,body temperature and laboratory examination results are given descriptive and statistical analysis,showing their means and standard deviations,etc. Results：The frequency of dark tongue,dark-red tongue,thin-greasy tongue fur,greasy-yellow tongue fur and tautslippery was respectively 118,49,99,31,73,constituting respectively 85.51%,35.51%,71.74%,22.46%,52.90% of the patients examined;Mean and standard deviation of systolic blood pressure（SBP）,PR,body temperature,white blood cell（WBC）,neutrophil percentage（NEUT%）,fasting plasma glucose（FPG）,hemoglobin Alc（Hb A1 c）,total cholesterol（TC）was respectively（131.83±11.68）mm Hg,（75.80±4.72）bpm,（36.52±0.25）℃,（5.58±1.67）×10^9/L,59.37%±8.56%,（5.51±1.49）mmol/L,and 6.30%±1.14%,and（4.37±0.95）mmol/L. Conclusion：In terms of pathogens,stasis,turbid pathogen（phlegm,dampness,etc.）,wind and heat（fire）are important factors in bringing out PCI;In terms of PCI pathogenesis characteristics,healthy Qi is slightly damaged and pathogenic Qi is fairly strong. Yet,the role of modern medical examination results,such as blood pressure,blood glucose,blood lipids et al,in the assessment of PCI pathogens and pathogenesis,awaits further exploration.

关 键 词：后循环缺血 中西医结合 病因 病机 

分 类 号：R743.3[医药卫生—神经病学与精神病学]