对比增强经颅多普勒超声检测右向左分流与偏头痛中医辨证分型相关性临床研究  

Clinical study on the correlation between the right-to-left shunt detected by contrast-enhanced transcranial Doppler and the TCM syndrome differentiation classification of migraine

作　　者：范丹[1] 王可 荣春书[1] 翟超[1] FAN Dan;WANG Ke;RONG Chunshu;ZHAI Chao(Affiliated Hospital of Changchun University of Chinese Medicine,Changchun 130021,China;Changchun University of Chinese Medicine,Changchun 130117,China)

机构地区：[1]长春中医药大学附属医院,长春130021 [2]长春中医药大学,长春130117

出　　处：《吉林中医药》2022年第1期40-43,共4页Jilin Journal of Chinese Medicine

基　　金：2020年度吉林省中医药科技项目(2020061)。

摘　　要：目的探讨右向左分流与偏头痛中医辨证分型统计学关系。方法纳入偏头痛患者150例,根据中医各证型分组,结合其右向左分流定性、分型、分流量不同,比较各组例数、发生率统计学关系。结果右向左分流总体数量上阳性显著多于阴性,且中医辨证证型存在统计学差异(均P<0.05)。阳性组以小量分流级别最多见,其中以肝阳上亢证例数最多;大量分流级别中固有型以肝阳上亢证、痰浊证,潜在型以瘀血证显著增多(均P<0.05)。肝阳上亢证组内固有型及潜在型分型均以小量分流级别,痰浊证以潜在型小量分流级别显著增多(均P<0.05)。结论偏头痛与右向左分流存在相关性可能,且分流级别以小量为主,小量分流级别以肝阳上亢证为主,大量分流级别中固有型以肝阳上亢证、痰浊证最多,潜在型以瘀血证最多见。Objective To investigate the statistical relationship between the right-to-left shunt and the TCM syndrome differentiation classification in patients with migraine.Methods A total of 150 patients with migraine were enrolled in this study and divided into different groups according to their TCM syndromes.The statistical relationship between the number of right-to-left shunt cases and the migraine incidence in each group was compared by observing the difference in their shunt qualities,syndrome types and shunt volumes.Results The total number of right-to-left shunts in the positive group was significantly more than that in the negative group,and there was a statistical difference between the different TCM syndromes (all P<0.05).In the positive group,the small-amount shunt was most common,and the number of cases with the syndrome of upper hyperactivity of liver yang was the largest.The large-scale shunt was more manifested as the upper hyperactivity of liver yang syndrome and the phlegm-turbidity syndrome in the intrinsic type,while more manifested as the blood stasis syndrome in the latent type (all P<0.05).In the upper hyperactivity of liver yang syndrome group,both the intrinsic type and the latent type were more classified at the level of small amount of shunt,while in the phlegm-turbidity syndrome group,the latent type of the right-to-left shunt was more classified at the level of small amount of shunt (all P<0.05).Conclusion There may be a correlation between migraine and the right-to-left shunts,and the shunts are mostly at the level of small amount.The shunts with a small amount are mostly manifested as the upper hyperactivity of liver yang syndrome,while the shunts with a large amount in the intrinsic type are mostly manifested as the upper hyperactivity of liver yang syndrome and the phlegm-turbidity syndrome,and the latent type is mostly manifested as the blood stasis syndrome.

关 键 词：右向左分流 辨证分型 偏头痛 

分 类 号：R747.2[医药卫生—神经病学与精神病学]