急性中风症候与CT表现间相关性研究

Study on the Relationship between Acute Stroke of TCM and Findings of CT

目的研究中医急性中风症候与CT表现间对应关系。方法分析281例CT表现为脑梗塞或脑出血的急性中风患者的征候表现。281例中,男178例,女103例,平均年龄62岁。首先将中风发作5天内患者在行CT检查时的中医学症候用统一的预设表格记录下来,然后由三位副教授以上高年资中医师根据症候分别进行辨证,选择两位医师辨证相同的病例进行分析。对总例数超过40例的资料行“2χ”检验。结果在281例急性中风患者中,CT诊断脑梗塞87例,脑溢血194例。281例急性中风病例中,中经络147例中CT上表现为脑梗塞61例脑出血86例,其中肝阳暴亢60例,风痰阻络67例,痰热腑实和气虚血瘀各为7和8例,阴虚风动仅有5例;中脏腑134例中脑梗塞29例,脑出血105例,其中风火闭窍22例,痰火闭窍10例,痰湿蒙窍18例,元气衰败74例,阴虚阳脱10例。肝阳暴亢和元气衰败均以脑出血为主,两者间有显著差异性(p<0.05)。结论1、脑中风证型较多,但以元气衰败型较常见,其次为风痰阻络;2、元气衰败型和肝阳暴亢型均以脑出血为主。

objective To study the relationship between acute stroke of traditional Chinese medicine and findings of CT. Methods 281 cases with acute stroke were analyzed retrospectively, which suffered from infarction and spilled in CT. Results In CT, 87 cases was infarction ,194 cases was cerebral spill. Based on the types of traditional Chinese medicine, the type of zhongjinlao was 147 out nf281 cases, in which 60 cases was the type of ganyang baokang; 134 cases was the type of zhongzangfu, in which 74 cases was the type of yuanqi shuinbai. Conclusion 1. There are more types of brain stroke, but most is the type of yuanqi shuibai and then fengtan zulao; 2. The most of yuanqi shuibai and ganyang baokang are cerebral spilling.