河北省阜平县脑卒中高危人群中医证候要素分析  

Analysis of Chinese Medical Symptom Elements in High-risk Groups of Stroke in Fuping County,Hebei Province

作　　者：童晨光[1] 焦骥 祁江峡[1] 梁晓 刘田清 马菽励 TONG Chenguang;JIAO Ji;QI Jiangxia;LIANG Xiao;LIU Tianqing;MA Shuli(Xiyuan Hospital,China Academy of Chinese Medical Sciences,Beijing 100091,China)

机构地区：[1]中国中医科学院西苑医院,北京100091 [2]阜平县中医医院

出　　处：《中西医结合心脑血管病杂志》2023年第8期1387-1390,共4页Chinese Journal of Integrative Medicine on Cardio-Cerebrovascular Disease

基　　金：国家中医药管理局京津冀脑病专科协同病房建设项目(No.010040080)。

摘　　要：目的:分析河北省阜平县脑卒中高危人群的中医证候要素,为脑卒中的中医预防提供辨证论治依据。方法:针对600名40岁以上常住居民中筛查出的287例脑卒中高危人群,通过中医症状观察表记录中医症状及四诊信息。采用频数分析、因子分析等统计方法,分析脑卒中高危人群中医症状特点和中医证候要素分布规律。结果:按出现的频次、频率排序,居前10位的中医症状分别为视物模糊、一过性头晕、形体肥胖、头重如裹、眩晕、吞酸嘈杂、耳鸣如蝉、多梦、肢体疼痛、尿急,居前10位的舌脉象分别为舌质淡红、舌苔薄、舌苔白、脉弦、舌质暗、齿痕舌、脉细、舌胖、脉滑、舌苔黄。因子分析最终保留19个公因子进行分析,发现中医证候要素包括阴(血)虚、气虚、阳虚、气滞、血瘀、痰、火。结论:河北省阜平县脑卒中高危人群的主要中医证候要素为阴(血)虚、气虚、阳虚、气滞,次要证候要素是血瘀、痰、火,总体以虚证为主,虚实夹杂次之,脏腑定位主要涉及肝、脾、肾三脏。Objective:To analyze of Chinese medical symptom elements in high-risk groups of stroke in Fuping County,Hebei Province,China,to provide a basis for Chinese medical prevention and treatment.Methods:There were 287 cases with high risk of stroke screened from 600 permanent residents over 40 years old of age,Chinese medical symptoms and four diagnostic information were recorded through the Chinese medical symptom observation form.Using statistical methods such as frequency analysis and factor analysis,the characteristics of Chinese medical symptoms and the distribution pattern of Chinese medical symptom elements in high-risk groups of stroke were analyzed.Results:The top 10 Chinese medical symptoms were blurred vision,transient dizziness,obesity,heavy head like a wrap,vertigo,tinnitus,excessive dreaming,limb pain,and urinary urgency.The top 10 tongue and pulse signs were pale red tongue,thin tongue coating,white tongue coating,stringent pulse,dark tongue,dentate tongue,thin pulse,fat tongue,smooth pulse,and yellow tongue coating.There were 19 common factors for analysis and the Chinese medical symptom elements included Yin(blood)deficiency,Qi deficiency,Yang deficiency,Qi stagnation,blood stasis,phlegm,and fire.Conclusion:The main Chinese medical symptom elements in high-risk groups of stroke in Fuping County,Hebei Province were Yin(blood)deficiency,Qi deficiency,Yang deficiency and Qi stagnation,and the secondary symptom elements were blood stasis,phlegm and fire,with deficiency evidence predominating overall and mixed deficiency and reality second,and organ mainly involved liver,spleen and kidney.

关 键 词：脑卒中 高危人群 中医 证候要素 因子分析 

分 类 号：R277.7[医药卫生—中医学]