不同性别缺血性脑卒中病人生存状态和中医特征调查研究  

Investigation on Survival Status and Characteristics of Traditional Chinese Medicine in Patients with Ischemic Stroke of Different Genders

作　　者：龚柳 姚迎叶 王宇[1] 俞建锋 汤伟[4] 吉宏彬 孙青 诸杰 张晓钢 刘宪锋 蔡浙毅[10] 马洁[1] 忻伟 张云云[1] GONG Liu;YAO Yingye;WANG Yu;YU Jianfeng;TANG Wei;JI Hongbin;SUN Qing;ZHU Jie;ZHANG Xiaogang;LIU Xianfeng;CAI Zheyi;MA Jie;XIN Wei;ZHANG Yunyun(Yueyang Hospital of Integrated Traditional Chinese and Western Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 200437,China;Shanghai Baoshan Hospital of Integrated Traditional Chinese Medicine and Western Medicine,Shanghai 201999 China)

机构地区：[1]上海中医药大学附属岳阳中西医结合医院,上海200437 [2]上海市宝山区中西医结合医院,上海201999 [3]上海市嘉定区外冈镇社区卫生服务中心 [4]上海市嘉定区嘉定镇街道社区卫生服务中心 [5]上海市嘉定区迎园医院 [6]上海市嘉定区马陆镇社区卫生服务中心 [7]上海市嘉定区菊园新区社区卫生服务中心 [8]上海市嘉定区南翔镇社区卫生服务中心 [9]上海市嘉定区嘉定工业区社区卫生服务中心 [10]上海市嘉定区中医医院

出　　处：《中西医结合心脑血管病杂志》2020年第15期2404-2409,共6页Chinese Journal of Integrative Medicine on Cardio-Cerebrovascular Disease

基　　金：上海市进一步加快中医药事业发展三年行动计划基金资助项目(2014年—2016年,No.ZY3-FWMS-1-1001-YY)。

摘　　要：目的了解不同性别缺血性脑卒中病人的生存状态和中医特征。方法采用流行病学调查方法,调查上海市嘉定区和闵行区的11个社区中发病在1个月至2年内的缺血性脑卒中病人,研究不同性别间病人的血管危险因素、中医证型、中医体质、日常活动依赖程度(mRS)、认知(简易智能状态检查表)和情志(抑郁自评量表和焦虑自评量表)等指标。结果305例缺血性脑卒中病人中,男189例,女116例。男性与女性比较,周围动脉疾病(3.70%与0)、吸烟(41.80%与1.72%)、酗酒(15.87%与0)比例男性均高于女性,而男性心肌梗死伴发率(0.53%)低于女性(5.17%),差异均有统计学意义(P<0.05)。男性和女性病人均以气虚血瘀证型(42.86%与40.52%)、气虚质(38.10%与24.14%)为最常见,两组中医证型和中医体质分布比较差异无统计学意义。男性和女性的残障内容,感觉障碍、肢体瘫痪、言语障碍最为多见,但总体分布差异无统计学意义。结论不同性别间缺血性脑卒中病人血管危险因素有所不同,但中医证型、中医体质、躯体残障、认知功能、抑郁和焦虑发生率水平相当。Objective To investig survival status and characteristics of Traditional Chinese Medicine(TCM)in patients with ischemic stroke of different genders.Methods The patients of ischemic stroke within 1 month to 2 years in 11 communities of Jiading and Minhang districts in Shanghai for epidemiological investigation.The vascular risk factors,TCM syndromes,constitution of TCM,daily activity dependence(MRS),cognitive(MMSE)and emotional(Depression Self Rating Scale and Anxiety Self-assessment Scale)of different gender patients were detected.Results Among the 305 patients with ischemic stroke,189 were moles and 116 were females.The incidence of peripheral arterial disease(3.70%vs 0),smoking(41.80%vs 1.72%),and alcohol abuse(15.87%vs 0)in males were higher than those in females,while the incidence of myocardial infarction in noles was lower than that in females(0.53%vs 5.17%),with statistically significant difference.Qi-deficiency and blood-stasis syndrome(42.86%and 40.52%)and Qi-deficiency constitution(38.10%and 24.14%)were the most common types in both male and female patients.Conclusion The vascular risk factors of patients were different between different genders,but there was no significant difference in incidence of TCM syndrome,TCM constitution,physical disability,cognitive function,depression and anxiety.

关 键 词：缺血性脑卒中 流行病学调查 生存状态 中医特征 性别 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R255.2[医药卫生—临床医学]