脑梗死恢复期痰证与血脂代谢关系的临床观察

Clinical observation on the relationship between phlegm syndrome at recovery phase of cerebral infarction and metabolism of blood fat.

目的探讨脑梗死恢复期痰证与血脂代谢的关系。方法将脑梗死恢复期患者103例按辨证分型分为2组,痰证组52例,非痰证组51例;并设正常对照组50例,为老年体检者(健康人)。评定痰证组和非痰证组临床神经功能缺损积分,并检测3组总胆固醇(TC)、甘油三酯(TG)及低密度脂蛋白胆固醇(LDL-C)水平。结果脑梗死恢复期痰证组临床神经功能缺损积分(22.91±11.15)分,非痰证组临床神经功能缺损积分(12.10±8.19)分,2组比较差异有统计学意义(P<0.01);脑梗死恢复期TG、TC、LDL-C均较正常对照组显著升高(P<0.01);痰证组TG、TC、LDL-C较非痰证组明显升高,2组比较差异均有统计学意义(P<0.05,P<0.01)。结论脑梗死恢复期存在严重的血脂代谢紊乱,临床应注重化痰以促进神经功能恢复和身体康复。

Objective To explore the relationship between phlegm syndrome at recovery phase of cerebral infarction and metabolism of blood fat, Methods 103 patients with cerebral infarction at recovery phase were divided into 2 groups by differentiation focr syndrome classification. 52 patients were in phlegm syndrome group, others were in non - phlegm syndrome group and there also was a normal control group with 50 healthy seniors, Conducting the evaluation of colobema of nerve functional defect and detecting the level of TC, TG and LDL - C. Results qlae score of colobema of nerve functional defect in phlegm syndrome group was （22.91 ± 11,15）, which was （12.10± 8, 19） in non- phlegm syndrome group, There was significant difference between two groups （ P 〈 0.01）. qlae parameters of TC, TG and LDL - C in beth groups were higher than that in normal control group （ P 〈0.01）. qlae parameters ofTC, TG and LDL- C in phlegm syndrome group was higher than that in non- phlegm syndrome group, there was significant difference between two groups （P 〈 0.05, P 〈0,01）. Conclusion Patients with cerebral infarction at recovery phase had severe metabolic disturbance, the clinical treatment should focus on dissolving phlegm so as to promote the recovery of nervous function.