摘要
目的 探讨中风病中医证候与西医诊察指标的相关性 ,以提升中医对中风病的诊疗效能。方法 本研究共收集 12 2例中风病急性期住院病患 ,在发病 72h内 ,依《中风病辨证诊断标准》加以辨证 ,并与西医在病患住院期间和出院时的诊察指标 ,用卡方检验的统计方式 ,进行相关性的研究。结果 中风病六大基本证候之一的火热证与中风病危险因子项目统计学上无显著性差异 ,而与中风病住院过程出现并发症、中风病出院时的康复情形、神经学状态与日常生活功能状态评估的严重度在统计学上有显著性差异 (P <0 0 5 )。结论 中风病急性期的病患若在发病 72h内出现火热证 ,住院期间易出现并发症 ,神经学状态与日常生活功能状态评估也会较严重 ,出院时的康复情形较易变差。
Objective To investigate the correlation between TCM syndromes and modern medical diagnostic criteria of apoplexy, in order to promote the TCM diagnostic level of apoplexy. Method 122 Inpatients of apoplexy at the acute stage were involved in this study. The patients were diagnosed by TCM diagnostic procedures within 72 hours of the onset according to the TCM Diagnostic Criteria for Apoplexy. A correlation study was conducted between TCM diagnoses and modern medical diagnostic criteria of apoplexy. The data were statistically processed by the method of multifactor cross analysis. Results TCM fire-heat syndrome, one of the 6 principal TCM syndromes of apoplexy, was significantly correlative with the risk factors of apoplexy in modern medicine, such as agedness, diabetes, and complications. It was also correlative with the state of rehabilitation, neurological state, and the ability in daily life activities of apoplectic patients (P<0.05). Conclusion The patients of apoplexy are easy to develop complications and tend to be with poor ability in daily life activities and in an unsatisfied state of rehabilitation if they manifest the fire-heat syndrome within 72 hours of the onset of apoplexy.
出处
《北京中医药大学学报》
CAS
CSCD
北大核心
2004年第5期77-80,共4页
Journal of Beijing University of Traditional Chinese Medicine
