出血性中风中医辨证与颅内血肿部位及量化的相关性

Correlation between syndrome differ classification of traditional Chinese medicine and quantization and location of hemorrhage on hemorrhagic′stroke

目的:探讨出血性中风中医辨证与颅脑CT征象的相关性,重点研究出血性中风中医辨证与颅内血肿部位、量化间的关系,为中医临床辨证施治提供客观依据。方法:随机纳入符合条件的出血性中风患者147例,临床医生根据患者症状进行中医辨证,放射科医生填写CT征象(颅内血肿部位、大小等),运用SPSS软件包对相关资料进行分析。结果:基底节区、丘脑是出血性中风的好发部位,中经络证出血量少于20 ml;中脏腑证出血量超过30 ml,或仅超过20 ml但破入脑室,或仅超过3 ml但发生于脑干。中经络证与中脏腑证的出血量存在显著性差异(P<0.01)。结论:出血性中风患者中医辨证与血肿量有密切关系,与部位无关。对出血性中风患者及时进行CT扫描有助于正确进行中医辨证施治。

Objective：To evaluate the relativity between the traditional Chinese medical differentiation and the quantization and location of hemorrhage for hemorrhagic stroke. Methods： We had prospectively registered the successive 147 cases of hemorrhagic stroke. Clinical doctor gave patients differentiation. Radiologist measured hemorrhage volume and filled out CT signs table, and made statistics analysis. Results： One hundred and forty-seven cases were admitted. Cases whose volume of hemorrhage was less than 20ml belong to Zhongjingluo . Cases whose volume of hemorrhage was more than 30ml or more than 20ml with ventricle bleeding or more than 3ml in brain stem belong to Zhongzangfu. The volume of hemorrhage between Zhongjingluo and Zhongzangfu had prominent difference（ P 〈0.01）. Conclusion： There was relativity between the hemorrhage volume and traditional differentiation for hemorrhagic stroke.