168例缺血性脑卒中患者体质特点研究

Body Constitution Characteristics of Ischemic Stroke in 168 Cases

目的调查缺血性脑卒中患者的中医体质特点。方法选择168例缺血性脑卒中患者,调查其中医体质类型分布以及与性别、年龄、体重的关系。结果①缺血性脑卒中患者的中医体质类型以气虚质、阴虚质和痰湿质居多,分别为33.9%、20.2%和19.0%;②男性患者常见的体质类型为气虚质、阴虚质和痰湿质,女性患者常见的体质类型为气虚质;③小于60岁的患者以气虚质和痰湿质最为常见,60～70岁患者以气虚质和阴虚质为主,70岁以上患者主要以气虚质为主;④肥胖患者以痰湿质最为常见,其他患者以气虚质最为常见。结论缺血性脑卒中患者的中医体质类型以气虚质、阴虚质和痰湿质为多;不同性别、年龄和体重的患者,其中医体质特点有所不同。

Objective To investigate the constitutions of TCM in patients with acute ischemic stroke. Methods The structured questionnaire of constitution was used to investigate the relationship between body constitution types and gender, age and weight. Results （1）Qi-deficiency constitution type was the most common type in ischemic stroke group （33.9%）, then yin-deficiency （20.2%） and phlegm-damp （19.0%）. （2）Qi deficiency, yin deficiency and phlegm-damp types were the common constitution types （more than 20% ） of TCM in man, however, only qi deficiency type in female. （3） Qi deficiency and phlegm-damp types were common in patients below 60 years old, qi deficiency and yin deficiency types in patients between 60-70 years old, and qi deficiency type in patients over 70 years old. （4）Phlegm-damp type was the most common constitution type of TCM in patients with obesity, and qi deficiency type was the most common constitution type of TCM in others. Conclusion Qi deficiency, yin deficiency and phlegm-damp types were the common constitution types in all ischemic stroke patients. The constitution features were different in patients with different gender, age and body weight.