脑梗死患者血运重建前后中医证候演变规律的初步探讨

Preliminary Study on Regularity of Syndrome's Change Before and After Revascularization in Patients with Cerebral Infarction

探讨脑梗死患者血运重建前后的证候演变规律,为中医药干预脑梗死血运重建后并发症的辨证治疗提供思路和依据。方法:采用横断面调查研究方法,设计中风病中医证候调查表,分别对脑梗死患者血运重建治疗前后的不同时点进行前瞻性调查,系统研究脑梗死患者血运重建治疗前后的常见证候及其演变规律。结果:脑梗死患者血运重建治疗后,风、火、痰、瘀等邪实证候均呈下降趋势,而气虚、阴虚等本虚证候则呈明显上升趋势。结论:血运重建治疗在发挥袪除实邪(主要为血瘀、痰邪)作用的过程中,可能同时对人体正气产生了一定的损伤作用。

Objective ：To discuss the regularity of syndrome＇s change before and after revascularization in patients with cerebral infarction,which may provide methods and ideas for Chinese Medicine to treat the complications after revasculafization in patients with cerebral infarction. Methods ：Adopting cross-sectional study method,we design syndrome questionnaire of stroke to investigate cerebral infarction patients＇ syndrome in different time points before and after revasculafization, and then to study the cerebral infaretion patients＇syndrome before and after revascularization. Results：After revascularization in patients with cerebral infarction, the sthenia related syndromes all show a downward trend, and the asthenia related syndromes all show a obvious upward trend. Conclusion： Revascularization therapy can remove evil factors affecting health（ mainly blood stasis, phlegm evil）, but at the same time it may have some harmful effects to the vital Qi of human body.