缺血性脑卒中芤脉的脉波图分析  

Analysis of Hollow Pulse Diagram of Cerebral Stroke

作　　者：刘彤 杜少辉[1] 车艳楠[1] 杨丽娜[1] 李煜 朱燕娴 杨珺 刘怡然 Liu Tong;Du Shaohui;Che Yannan;Yang Lina;Li Yu;Zhu Yanxian;Yang Jun;Liu Yiran(Shenzhen Traditional Chinese Medicine Hospital,Guangdong,Shenzhen 518033,China)

机构地区：[1]广东省深圳市中医院,广东深圳518033 [2]广东省深圳市龙岗区第四人民医院,广东深圳518114

出　　处：《中国中医急症》2024年第6期1051-1054,共4页Journal of Emergency in Traditional Chinese Medicine

基　　金：深圳市科技计划项目(JCYJ20190812161407208)。

摘　　要：目的通过分析缺血性脑卒中芤脉患者的脉图时域参数特征,为缺血性脑卒中芤脉的凭脉辨证提供客观依据。方法应用脉诊采集仪采集51例缺血性脑卒中患者的左关脉脉波图,应用医用红外热成像仪采集42例缺血性脑卒中患者全身红外热成像图,分析脉图参数与全身热图温度。结果与正常对照组相比,缺血性脑卒中组的左手关脉浮取h1、h3、w、w/t增大(P<0.05),中取h1、h3、h3/h1、w、w/t增大(P<0.05),沉取h3/h1、w、w/t增大(P<0.05),浮取、中取与沉取h5减小(P<0.01)。缺血性脑卒中患者的三焦平均温度增高(P<0.01),缺血性脑卒中患者心区相对温度差ΔT为负值,心区热值低于其对应躯干区域的平均热值。结论缺血性脑卒中芤脉的脉波图有其独特性,既有浮、大的阳亢与中空的阴血亏虚特点,也有虚、缓的阳虚特征,热成像图的温度对比体现了阳浮和心阳虚损,可为缺血性脑卒中患者阴阳辨证提供客观的参考依据,也初步补充了关于芤脉局部缺血的研究内容。Objective:To study the pulse diagram of ischemic stroke patients and to provide objective basis for the syndrome differentiation of ischemic stroke hollow pulse.Methods:The left guan pulse diagram of 51 patients with ischemic stroke were collected by pulse diagnosis instrument,and whole body infrared thermography of 42 patients with ischemic stroke were collected by medical infrared thermography instrument.Pulse wave parameters and whole body temperature were analyzed.Results:Compared with the normal control group,the floating values of h1,h3,w,w/t of the left hand Guan pulse in the ischemic stroke group were significantly increased(P<0.05),and the middle values of h1,h3,h3/h1,w,w/t of the left hand Guan pulse in the ischemic stroke group were significantly increased(P<0.05),the settling values of h3/h1,w,w/t in sediment increased significantly(P<0.05),while the ratio of h5 in floatation,medium and sediment decreased significantly(P<0.01).The average temperature of triple energizer in patients with ischemic stroke increased significantly(P<0.01).The AT of the relative temperature difference in the heart region of the patients with ischemic stroke was negative,and the caloric value of the heart region was lower than the mean caloric value of the corresponding trunk region.Conclusions:The pulse wave graph of the hollow pulse in ischemic stroke has its unique features,including floating,large hyperactivity of yang and hollow deficiency of yin and blood,as well as weak and slow deficiency of yang,the temperature contrast of the thermal image shows the yang floating and the heart yang deficiency,which can provide objective reference for yin-yang syndrome differentiation of patients with ischemic stroke,and also preliminarily supplement the research contents about the local ischemia of the hollow pulse.

关 键 词：缺血性脑卒中 芤脉 阳虚 脉诊仪 脉波图 热成像 

分 类 号：R743.9[医药卫生—神经病学与精神病学]