中风病因当代研究汇释  

Contemporary Study on Etiology of Apoplexy

作　　者：丁元庆[1] 胡春雨[1] 徐胤聪[1] 刘庆 DING Yuanqing;HU Chunyu;XU Yincong;LIU Qing(Shandong University of Traditional Chinese Medicine,Jinan 250355,China;The Third Division Hospital of Kashgar,Kashgar 844000,China)

机构地区：[1]山东中医药大学,山东济南250355 [2]新疆喀什第三师医院,新疆喀什844000

出　　处：《山东中医药大学学报》2020年第6期606-611,共6页Journal of Shandong University of Traditional Chinese Medicine

基　　金：全国中医学术流派传承工作室第二轮建设项目(批文号:国中医药人教函〔2019〕62号);2018年山东省名老中医药专家传承工作室建设项目(批文号:鲁卫中发展字〔2018〕1号);齐鲁医派中医学术流派建设项目齐鲁丁氏脑科六经心法中医药特色技术(批文号:鲁卫函〔2020〕132号)。

摘　　要：基于古今相关论述结合当代研究进展对中风病因进行系统汇总阐释。根据文献,将中风病因分为:①外感六淫与疫毒;②内伤,如增龄体衰、性别易感性、调摄失宜等;③久病损伤,如慢病、睡眠障碍、牙周疾病、风湿免疫疾病等;④先天及家族性因素,如发育异常、卒中家族史、生活方式及禀赋等;⑤药物损害与物质滥用;⑥外伤损害;⑦环境污染与社会经济因素影响等。诸因素多可长期存在并共同作用,最终损及血脉,发生中风。中风病因多样、复杂、重叠,内外因素交叉,先后天因素并见,覆盖全生命周期,有防不胜防之难。因此,全面认识与阐述中风病因,深化与完善中风病因病机理论,有利于中风防治。The etiology of apoplexy is systematically summarized based on ancient and modern relevant discussions and contemporary research progress.According to the literature,the causes of apoplexy are divided into the following seven categories:①External contraction of six excesses or pestilence.②Internal damage,such as aging,gender susceptibility,inappropriate adjustment and so on.③Damage frome enduring illness,such as chronic disease,sleep disorder,periodontal disease,rheumatic immune disease,etc.④Congenital and familial factors,such as dysplasia,family history of apoplexy,lifestyle and endowment,etc.⑤Drug damage and substance abuse.⑥Traumatic injury.⑦Environmental pollution and influence of social and economic factors.Many factors can exist for a long time and work together,and eventually damage blood vessels causing apoplexy.The causes of apoplexy are diverse,complex and overlapping,including the crossed internal and external factors,considering both the congenital and acquired factors,covering the whole life cycle,so it is difficult to prevent.Therefore,comprehensively understanding and elaborating the etiology of apoplexy,deepening and perfecting the theory of etiology and pathogenesis of apoplexy are beneficial to the prevention and treatment of apoplexy.

关 键 词：中风 脑血管病 卒中 危险因素 病因 营卫失常 血脉损伤 健康信念模式 全生命周期 

分 类 号：R255.2[医药卫生—中医内科学]