急性缺血性中风中医证候要素及证候分布特点研究  

Study on TCM Syndrome Elements and Syndrome Distribution Characteristics of Acute Ischemic Stroke

作　　者：官玥玥 陈正权[2] 胡向海 任胜洪 陶文强[1] 赵玉华 舒建中[1] 龚廷亮 唐国华 孙科[1] 闫俊峰[1] 李金容 聂代数 雷励[6] 唐军[1] Guan Yueyue;Chen Zhengquan;Hu Xianghai;Ren Shenghong;Tao Wenqiang;Zhao Yuhua;Shu Jianzhong;Gong Tingliang;Tang Guohua;Sun Ke;Yan Junfeng;Li Jinrong;Nie Daishu;Lei Li;Tang Jun(Chongqing Hospital of Traditional Chinese Medicine,Chongqing 400021,China)

机构地区：[1]重庆市中医院,重庆400021 [2]重庆市涪陵区中医院,重庆408000 [3]重庆市开州区中医院,重庆445449 [4]重庆市九龙坡区中医院,重庆440080 [5]重庆市云阳县中医院,重庆409800 [6]重庆市北碚区中医院,重庆440700

出　　处：《中国中医急症》2022年第10期1745-1748,共4页Journal of Emergency in Traditional Chinese Medicine

基　　金：重庆市卫生计生委中医重点项目(ZY201801012)。

摘　　要：目的探讨重庆市6家中医院急性缺血性中风患者的中医证候要素及证候分布规律及各种相关因素的关系。方法采集缺血性中风患者临床信息及四诊信息,根据“临床病例观察表”对中医证候进行评分。结果总体的证候分布为风证>血瘀证>痰证>气虚证>火热证>阳虚证>阴虚阳亢证,男女之间的火热证、痰证、气虚证分布有统计学差异(P<0.05),合并有冠心病者血瘀证、阳虚证,高脂血症者痰证、血瘀证,既往有脑梗死者气虚证分布有统计学差异(P<0.05),吸烟和(或)嗜酒者火热证、痰证分布有统计学差异(P<0.05),证候的组合形式以三证、四证组合为主。结论采自重庆市6家中医院急性缺血性中风患者的中医证候要素及证候分布有一定的特点,风、瘀、痰、虚为主要的证候要素,证候分布与性别、既往史、个人史存在一定的相关性。中医证候存在一定比例的阳虚证,且常合并痰瘀虚证,是对中风病急性期临床证候的补充与完善。Objective:To explore the elements of TCM syndromes and the distribution of syndromes in patients from 6 hospitals in chongqing with acute ischemic stroke,as well as the relationship with various related factors.Methods:The clinical information and four-diagnosis information of patients with ischemic stroke were collected,and TCM syndromes were scored according to the“Clinical Case Observation Sheet”.Results:The overall distribution of syndromes was wind syndrome>blood stasis syndrome>phlegm syndrome>qi deficiency syndrome>fireheat syndrome>yang deficiency syndrome>yin deficiency and yang hyperactivity syndrome.There were statistical differences in the distribution of fire-heat syndrome,phlegm syndrome,and qi deficiency syndrome between men and women(P<0.05).There were statistical differences in the distribution of qi deficiency syndrome between patients with coronary heart disease with blood stasis syndrome and yang deficiency syndrome,patients with hyperlipidemia with phlegm syndrome and blood stasis syndrome,and patients with previous cerebral infarction(P<0.05).There was a statistical difference in the distribution of fire-heat syndrome and phlegm syndrome among alcoholics and smokers(P<0.05),and the combination of syndromes was mainly composed of three syndromes and four syndromes.Conclusion:There is a certain regularity in TCM syndrome elements and their distribution in patients from 6 hospitals in chongqing.Wind,blood stasis,phlegm,and deficiency are the main syndrome elements.The distribution of syndromes has a certain correlation with gender,medical history,and personal history.TCM syndromes have a certain proportion of yang-deficiency syndromes,which are often combined with phlegm-stasis-deficiency syndromes,and it can complement and perfect the clinical syndromes in the acute phase of stroke.

关 键 词：缺血性中风 证候要素 证候 阳虚证 

分 类 号：R743.34[医药卫生—神经病学与精神病学]