某中医院全科医学科脑卒中患者中医证型特征及影响因素分析  

Analysis of TCM syndrome types and influencing factors of stroke patients in a general practice of TCM in a hospital

作　　者：曹杨鑫英 郑金书 CAO Yangxinying;ZHENG Jinshu(General Practice Department;Department of Encephalopathy,Chuzhou Hospital of Integrated Traditional Chinese and Western Medicine Affiliated to Anhui University of Chinese Medicine,Chuzhou,Anhui 239000,China)

机构地区：[1]安徽中医药大学附属滁州中西医结合医院全科医学科,安徽滁州239000 [2]安徽中医药大学附属滁州中西医结合医院脑病科,安徽滁州239000

出　　处：《现代医药卫生》2024年第22期3821-3824,共4页Journal of Modern Medicine & Health

基　　金：安徽省滁州市中医药学会科研项目(2021XH005);安徽中医药大学科研基金项目(2023LCC205)。

摘　　要：目的探讨脑卒中患者中医证型特征分布及影响因素。方法选取2022年8月至2023年11月该院全科医学科收治的脑卒中患者116例作为研究对象,分析年龄、性别、职业、高血压史、糖尿病史、复发病史、吸烟史、饮酒史、中医证型等因素的差异,采用多因素二元logistic回归模型分析脑卒中不同中医证型的影响因素。结果116例患者中女72例(62.1%),平均年龄(69.61±10.65)岁;男44例(37.9%),平均年龄(65.09±12.28)岁。不同性别患者年龄、吸烟史、饮酒史占比比较,差异均有统计学意义(P<0.05)。职业以退(离)休人员为主[55.2%(64/116)],中医证型以风痰瘀阻证为主[85.3%(99/116)],风火上扰证全为男性患者,气虚血瘀证与阴虚风动证皆为女性患者。糖尿病为风痰瘀阻证的独立危险因素(P<0.05);其余中医证型脑卒中与脑卒中高危因素无关(P>0.05)。结论风痰阻络证是脑卒中患者的高危证型,也是脑卒中复发患者的首要证型,积极预防危险因素并加以控制有助于脑降低卒中发生率。Objective To explore the distribution of TCM syndrome types of stroke patients and its influencing factors.Methods From August 2022 to November 2023,a total of 116 stroke patients admitted to the general medicine department of Chuzhou Hospital of Traditional Chinese and Western Medicine were selected as the research objects,and the differences of age,gender,occupation,hypertension history,diabetes history,recurrence history,smoking history,drinking history and TCM syndrome types were analyzed.The influencing factors of different TCM syndrome types of stroke were analyzed by multivariate binary logistic regression model.Results Among the 116 patients,72 were women(62.1%)with an average age of(69.61±10.65)years.There were 44 males(37.9%)with an average age of(65.09±12.28)years.The differences in age,smoking history and drinking history of patients of different sexes were statistically significant(P<0.05).The occupation was mainly retired(divorced)people[55.2%(64/116)],and the TCM syndrome type was mainly wind-phlegm and blood stasis syndrome[85.3%(99/116)].The wind-fire disturbance syndrome was all male patients,and both qi-deficiency and blood-stasis syndrome and yin-deficiency and wind-motion syndrome were female patients.Diabetes mellitus was an independent risk factor of wind-phlegm stasis syndrome(P<0.05);Other TCM syndromes of stroke had nothing to do with high risk factors of stroke(P>0.05).Conclusion The syndrome of wind-phlegm blocking collaterals is a high-risk type of stroke patients and the primary type of recurrent stroke patients.Active prevention and control of risk factors are helpful to reduce the occurrence of stroke.

关 键 词：全科 脑卒中 中医证型 影响因素分析 安徽 

分 类 号：R743.3[医药卫生—神经病学与精神病学]