作　　者： (申杰）; (杨洁红）; (徐彬）; (梁顺利）; (张宇燕）; (万海同）;

机构地区： 浙江中医药大学心脑血管研究所,浙江杭州310053

出　　处： 《中国中医急症》 2017年第9期1522-1524,1548,共4页

摘　　要： 目的研究缺血性脑卒中急性期中医证型与危险因素的相关性,以期为中医药临床诊疗思路及中医临床辨证论治提供参考依据。方法将缺血性脑卒中患者304例依照中医辨证分型标准分为5型,研究缺血性脑卒中急性期中医证型与年龄、高血压、糖尿病、高脂血症等危险因素的相关性,采用χ2检验和logistic回归分析方法进行统计学研究。结果缺血性脑卒中急性期中医证型分为5个,以气虚血瘀证最多,其后依次为风痰瘀阻证、阴虚风动证、肝阳上亢证和痰热腑实证。本研究304例患者中,男性200例,占65.79%,男性患者中以风痰瘀阻证最多;女性104例,占34.21%,女性患者中以气虚血瘀证最多。肝阳上亢证与年龄、吸烟、糖尿病和高同型半胱氨酸血症(HHcy)关系密切(P<0.05);风痰瘀阻证与HHcy关系密切(P<0.05);阴虚风动证与年龄、高血压和糖尿病关系密切(P<0.05)。结论急性缺血性脑卒中的危险因素与中医证型有一定的相关性,肝阳上亢证的危险因素是年龄、吸烟、糖尿病和HHcy;风痰瘀阻证的危险因素是HHcy;阴虚风动证的危险因素是年龄、高血压和糖尿病。 Objective： To study the correlation between TCM syndrome types and risk factors in acute stage of ischemic stroke,so as to provide reference for the clinical diagnosis and the clinical differentiation and treatment of TCM. Methods： 304 cases with ischemic stroke,according to TCM syndrome differentiation standards,were divided into 5 types to research the correlation of the acute ischemic stroke syndromes with age,hypertension,diabetes,hyperlipidemia and other risk factors. 2 test and Logistic regression analysis method were used to study.Results： The TCM Syndromes of acute ischemic stroke were divided into 5 types,with Qi deficiency and blood stasis being the most,followed by wind and phlegm stasis syndrome,wind formation from Yin deficiency,syndrome of upper hyperactivity of liver yang and phlegm heat and constipation. Among 304 patients,200 were males,accounting for 65.8%,and the majority of the male patients had wind and phlegm stasis syndrome;104 were female,accounting for 34.2%,and the majority of female patients had Qi deficiency and blood stasis syndrome. Syndrome of upper hyperactivity of liver yang was closely related to age,smoking,diabetes and HHcy（P 0.05）. Wind and phlegm stasis syndrome was closely related to HHcy（P 0.05）. Wind formation from Yin deficiency was closely related to age,hypertension and diabetes（P 0.05）. Conclusion： The risk factors of acute ischemic stroke are related to TCM syndromes. The risk factors of syndrome of upper hyperactivity of liver Yang are age,smoking,diabetes and HHcy;the risk factor of wind and phlegm stasis syndrome is HHcy;the risk factors of wind formation from Yin deficiency are age,hypertension and diabetes.

关 键 词： 缺血性脑卒中 中医证型 危险因素