出血性中风病急性期中经络型中脏腑型病灶CT定量规律分析  

CT quantitative analysis of acute hemorrhagic stroke involved with the meridian and viscera

作　　者：周瑜[1] 李直苹 漆钜霞 王梅[1] Zhou Yu;Li Zhiping;Qi Juxia(The Jiangjin District Traditional Chinese Medicine Hospital of Chongqing city,Chongqing 404100)

机构地区：[1]重庆市江津区中医院,重庆404100

出　　处：《基层医学论坛》2023年第7期76-78,119,共4页The Medical Forum

基　　金：重庆市江津区科技计划项目(Y2021070)。

摘　　要：目的探究出血性中风病急性期中经络型中脏腑型病灶计算机断层扫描成像技术(CT)定量规律。方法选择2021年8月-2022年2月重庆市江津区中医院收治的82例出血性中风病急性期患者为研究对象,由中医医师利用四诊方式实施中医中风病病名诊断和分类,依据病情轻重和是否存在神经改变将所有患者划分成中经络型(32例)以及中脏腑型(50例)。均行CT检查,对比两种证型组内各分型及组间脑出血部位、出血量、破入脑室、中线移位以及周围水肿情况。结果在中脏腑型内,阳闭、脱型脑叶出血率明显低于阴闭,差异存在统计学意义(P<0.05)。中脏腑型基底节区出血率显著低于中经络型,脑干出血率显著高于中经络型,差异存在统计学意义(P<0.05)。在中脏腑型内,阴闭出血量高于阳闭,低于脱型;脱型破入脑室率均高于阴闭以及阳闭,差异存在统计学意义(P<0.05)。中脏腑型出血量、破入脑室率、中线移位率以及周围水肿率均高于中经络型,差异存在统计学意义(P<0.05)。结论对于出血性中风急性期病患实施CT检查,通过观察定量指标能够对中经络型与中脏腑型进行有效区分,并且可提升疾病诊断准确度,临床价值显著。Objective To make the computed tomography(CT)quantitative analysis of acute hemorrhagic stroke involved with the meridian and viscera.Methods 82 acute hemorrhagic stroke patients treated from August 2021 to February 2022 in Chongqing Jiangjin District Hospital Of Chinese Medicine were selected as research subjects.The TCM disease diagnosis and types were defined by the professional doctors.According to illness severity and nerve changes,patients were divided into meridian syndrome group(n=32)and viscera syndrome group(n=50).CT scanning was performed to record the bleeding positions,bleeding volume,ventricular invasion and midline shift,etc.The bleeding positions,bleeding volume,ventricular invasion,midline shift and edema rates were compared between meridian syndrome and viscera syndrome patients.Results Among viscera syndrome patients,the lobe hemorrhage rates in Yang blockage and collapse patients were lower than Ying blockage patients,with statistically significant difference(P<0.05);the basal ganglia bleeding rates in viscera syndrome patients were significantly lower than meridian syndrome patients;the brainstem hemorrhage rates were higher than meridian syndrome patients(P<0.05);among viscera syndrome patients,the bleeding volume in Ying blockage patients was larger than Yang blockage patients,but was lower than collapse patients;the ventricular invasion rates in collapse patients were higher than Ying and Yang blockage patients(P<0.05);the bleeding volume,the occurrences of ventricular invasion,midline shift and edema in viscera syndrome patients were higher than meridian syndrome patients,with statistically significant difference(P<0.05).Conclusion CT quantitative indicators can identify the meridian and viscera syndromes of acute hemorrhagic stroke,and increase the disease diagnosis accuracy.

关 键 词：出血性中风 急性期 中脏腑型 中经络型 CT 定量规律 

分 类 号：R255.2[医药卫生—中医内科学]