摘要
目的 探索基于“五态人”理论分型的太阴型脑梗死患者中医证候分布规律,以期为脑梗死的防治提供理论依据。方法 使用《五态性格测验表(成人简版)》筛选就诊于河南中医药大学第一附属医院的太阴型脑梗死患者,制订太阴型脑梗死患者中医四诊信息调查表,收集符合标准的221位患者的临床信息。依据所搜集的资料建立数据库,采用统计学软件SPSS 20.0进行数据处理,对患者中医临床信息进行频数及频率统计,对筛选得到的四诊信息采用因子分析法探索证候分布规律。结果 本研究纳入的221例太阴型脑梗死患者中,筛选总结出35个主要四诊信息。通过因子分析法得出5个证候集,分别为气虚血瘀证(24.9%)、痰湿证(24.0%)、气虚痰湿证(23.1%)、气虚证(19.0%)、血瘀证(9.0%),提示太阴型脑梗死患者证候要素以痰湿、气虚、血瘀为主。结论 太阴型脑梗死患者常见中医证候以气虚血瘀证、痰湿证、气虚痰湿证、气虚证、血瘀证为主,尤以气虚血瘀证最为常见。
Objective To explore the distribution of TCM syndromes in patients with Taiyin type cerebral infarction based on the theory of"Five-state people",in order to provide a theoretical basis for the prevention and treatment of ischemic stroke.Methods Patients with Taiyin type cerebral infarction in the First Affiliated Hospital of Henan University of CM were screened by using the Five-state Personality Test Table(Simple Version for Adults).Formulated a questionnaire for information on four diagnosis of traditional Chinese medicine of the Taiyin type cerebral infarction.Collected clinical information from 221 patients who met the criteria.Established a database based on the collected data.The statistical analysis software SPSS 20.0 was used for data processing,the frequency of TCM clinical information of patients were calculated,and the factors analysis method was adopted to explore the law of syndrome distribution.Results Among the 221 cases of Taiyin type cerebral infarction included in this study,35 major four-diagnosis information were screened and summarized.Five syndrome sets were obtained through factor analysis,namely Qi deficiency and blood stasis syndrome(24.9%),phlegm and dampness syndrome(24.0%),Qi deficiency and phlegm syndrome(23.1%),Qi deficiency and phlegm syndrome(23.1%),Qi deficiency syndrome(19.0%),blood stasis syndrome(9.0%),indicating that the syndrome elements of patients with Taiyin type cerebral infarction were mainly phlegm dampness,Qi deficiency and blood stasis.Conclusion The common TCM syndromes in patients with Taiyin cerebral infarction are mainly Qi deficiency and blood stasis syndrome,phlegm and dampness syndrome,Qi deficiency and phlegm syndrome,Qi deficiency syndrome,and blood stasis syndrome,especially Qi deficiency and blood stasis syndrome is the most common.
作者
刘向哲
王晓丽
路永坤
杨海燕
周红霞
王新志
LIU Xiangzhe;WANG Xiaoli;LU Yongkun;YANG Haiyan;ZHOU Hongxia;WANG Xinzhi(The First Affiliated Hospital of Henan University of Chinese Medicine,Zhengzhou 450000,China;Xinmi Hospital of Traditional Chinese Medicine,Xinmi 452370,China)
出处
《中国中医基础医学杂志》
CAS
CSCD
2024年第7期1216-1219,共4页
JOURNAL OF BASIC CHINESE MEDICINE
基金
河南省科技攻关项目(242102311277)
河南省中医药科研专项课题(2023ZXZX1077)
河南省中医药学科领军人才项目(豫卫中医函[2021]8号)
河南省“双一流”创建学科中医学科研专项(HSRP-DFCTCM-2023-2-18)。
关键词
脑梗死
太阴型
“五态人”
Cerebral infarction
Taiyin type
Five-state people
