摘要
目的通过对宁夏五市脑卒中首发患者的中医证候进行调查研究,以明确其中医证候分布特点,从而为病证结合防治脑卒中提供依据。方法选择2009年9月-2011年9月就诊于宁夏地区五市中医院的410例脑卒中首发患者为研究对象;设计脑卒中证候调查量表;统计分析调查资料,并对统计结果进行描述性分析。结果宁夏脑卒中发病类型以脑梗死为主(304/410,74.15%)。脑梗死患者证候分布频次从高到低依次为风、血瘀、气虚、痰湿、阴虚、火热证;脑出血患者证候分布频次从高到低依次为风、火热、痰湿、阴虚、血瘀、气虚证。证候以组合形式为多,脑梗死和脑出血患者二证和三证组合频率均显著增高,单一证候出现的频率均显著降低。脑梗死和脑出血复合证候发生的频率不同,脑梗死依次为气虚血瘀、风痰阻络、痰热腑实、阴虚风动、痰湿蒙神、肝阳上亢;脑出血依次为肝阳上亢、痰热腑实、痰湿蒙神、阴虚风动、风痰阻络、气虚血瘀。结论宁夏脑卒中患者发病类型以脑梗死多见;脑梗死和脑出血的证素分布存在差异,但二者均以证候组合形式为多,其中二证组合最为多见,单证候最为少见;脑梗死的复合证候频率以气虚血瘀为最高,肝阳暴亢为最低,脑出血以肝阳暴亢为最高,气虚血瘀为最低。
OBJECTIVE To investigate the syndrome distribution of first stroke patients in five cities of Ningxia province, providing proof to the diagnosis and treatment of stroke. METHODS 410 Patients who had visited one of the five city-level Chinese hospitals from 2009/09 to 2011/09 were chosen. The investigation scale of stroke syndrome was set and the data were analyzed then. Comparison of the descriptive analysis were performed. RESULTS The main pattern was cerebral infraction （304/410, 74.15%）, and the syndrome arrangement down was as follow： wind, blood stasis, qi deficiency, phlegm dampness, yin deficiency, or fire heat syndrome; the cerebral hemorrhage patients＇ syndrome arrangement down, such as wind, fire heat, phlegm dampness, yin deficiency, blood stasis, or qi deficiency. Syndromes were always combined, meaning two or three syndromes were appeared in both cerebral infraction and hemorrhage and a syndrome seldom appeared alone. Compound syndromes of cerebral infraction and hemorrhage were different ： cerebral infraction may result from qi deficiency and blood stasis, wind phlegm stagnate collateral, phlegm heat and Fu excess, yin deficiency caused wind, phlegm dampness disturb spirit, hyperactivity of liver yang; cerebral hemorrhage were hyperactivity of liver yang, phlegm heat and Fu excess, phlegm dampness disturb spirit, yin deficiency caused wind, wind phlegm stagnate collateral, qi deficiency and blood stasis. CONCLUSION Cerebral infraction are more common in stroke patients in Ningxia, and there are differences between cerebral infraction and hemorrhage syndrome. Compound syndromes, especially two syndromes, are more common. Qi deficiency and blood stasis is most common in cerebral infraction, while hyperactivity of liver yang is seldom; hyperactivity of liver yang is most common in cerebral hemorrhage, while qi deficiency and blood stasis is seldom.
出处
《南京中医药大学学报》
CAS
CSCD
北大核心
2014年第3期213-216,共4页
Journal of Nanjing University of Traditional Chinese Medicine
基金
宁夏自然科学基金(NZ09106)
关键词
脑卒中
证候
分布特点
宁夏地区
stroke
syndrome
distributive characteristics
Ningxia
