脑梗死急性期合并高血压患者中医病性证素分布规律研究  

A Study on the Distribution of Traditional Chinese Medicine Syndrome Elements in Patients with Acute Cerebral Infarction Complicated with Hypertension

作　　者：刘环环 李本志[1] 高爱华 李天力 刘小芸 贺小芳 魏大为 常静玲[1] 常佩芬[1] LIU Huanhuan;LI Benzhi(Dongzhimen Hospital, Beijing University of Traditional Chinese Medicine, Beijing 100700, China)

机构地区：[1]北京中医药大学东直门医院,北京100700 [2]河北省献县中医医院康复科,河北沧州062250

出　　处：《河北医学》2021年第10期1616-1621,共6页Hebei Medicine

基　　金：北京科技计划项目,(编号:2019YFC1709203-2)。

摘　　要：目的:研究合并高血压的脑梗死急性期患者中医病性证素的分布规律。方法:收集195例脑梗死急性期患者的中医四诊等临床资料,参照《缺血性中风证候要素诊断量表》判断患者病性证素,应用统计学方法分析脑梗死合并高血压患者与脑梗死不合并高血压患者中医病性证素分布规律。结果:195例脑梗死急性期患者前三位病性证素为痰湿52例(26.7%)、内火43例(22.05%)、气虚36例(18.5%);在冠心病发病方面,高血压组(21.9%)明显高于非高血压组(6.1%),差异有统计学意义(P<0.05);在不同年龄患者中,老年人内火证出现率(27.6%)较中年人(11.6%)更高,中年人气虚证出现率(23.2%)较老年人(15.4%)更高,以上差异均有统计学意义(P<0.05);不同性别的脑梗死急性期患者病性证素分布差异无统计学意义(P>0.05);不同血压级别的高血压脑梗死患者病性证素分布不同,高血压3级脑梗死患者气虚证(24.0%)较高血压1级(14.3%)、高血压2级(5.5%)脑梗死患者更多见,差异有统计学意义(P<0.05);痰湿证出现频率方面,非高血压组(38.8%)较高血压组(22.6%)更高,两者分布差异有统计学意义(P<0.05)。结论:脑梗死急性期患者主要中医病性证素以痰湿、内火、气虚为主;高血压与冠心病、脑梗死的发生密切相关;不同年龄及高血压级别的状态下,脑梗死急性期患者的病性证素分布呈现差异。非高血压组患者较高血压组患者出现痰湿证的比例更高。Objective:To study the distribution of traditional Chinese medicine(TCM)syndrome elements in patients with acute cerebral infarction complicated with hypertension.Methods:The clinical data of 195 patients with acute cerebral infarction were collected,accordance with the Diagnostic Scale of Ischemic Stroke.Then to analyze the TCM syndrome elements distribution of patients with cerebral infarction of two groups(with hypertension group and without hypertension group)by statistical methods.Results:The first three syndromes in 195 patients with acute cerebral infarction were phlegm dampness in 52 cases(26.7%),internal fire in 43 cases(22.05%)and Qi deficiency in 36 cases(18.5%).In terms of the incidence of coronary heart disease,the hypertension group(21.9%)was significantly higher than the non-hypertension group(6.1%),with statistical significance of the difference(P<0.05).In different ages,the occurrence rate of internal fire syndrome in the elderly(27.6%)was higher than that in the middle-aged(11.6%),and the occurrence rate of Qi deficiency syndrome in the middle-aged(23.2%)was higher than that in the elderly(15.4%).The above differences were statistically significant(P<0.05).There was no statistical significance in the distribution of syndrome elements in patients with acute cerebral infarction(P>0.05).The distribution of syndrome elements of hypertensive cerebral infarction patients with different levels of blood pressure was different.Compared with hypertensive cerebral infarction patients with grade III(24.0%),qi-deficiency syndrome was more common in patients with grade I(14.3%)and gradeⅡ(5.5%),and the difference was statistically significant(P<0.05).The frequency of phlegm-dampness syndrome was higher in the non-hypertensive group(38.8%)than in the hypertensive group(22.6%),and the difference in the distribution between the two groups was statistically significant(P<0.05).Conclusion:Patients with acute cerebral infarction mainly include phlegm dampness,internal fire,and gas deficiency.Hypertension is closel

关 键 词：高血压 脑梗死急性期 病性证素 内火 痰湿 

分 类 号：R74[医药卫生—神经病学与精神病学]