对缺血性中风“风痰”证变化规律的探讨

To Explore the Change Rule of Wind-phlegm Syndrome of Ischemic Stroke

目的:探讨缺血性中风急性期风痰证的演变规律。方法:对400例72h内入院的缺血性中风患者的组合证侯发生频次及风痰证演变过程中证素加减情况进行统计描述与分析,运用聚类分析方法对风痰证患者与NIHSS分值的关系进行研究。结果:证侯发生的概率是动态演变的,具有规律性,且无论在急性期还是恢复期,风痰证都占有很高的比例。结论:风痰证在中风患者证候分布中占有重要地位,风痰阻络是缺血性中风病急性期的基本病机。这一结论为临床确立风痰同治的基本治疗提供了有力的依据。

Objective：To discuss the change rule of wind-phlegm syndrome of ischemic stroke in acute period.Methods：Among 400 patients within 72 hours,to describe the frequency of combination syndromes and analyze basic syndromes plus-minus in wind-phlegm syndrome change process,using cluster analysis to study the relationship between NIH score and wind-phlegm patients.Results：The ratio of syndrome is always developing and regularity.Wind-phlegm syndrome is the highest percentage in acute and recovering period.Conclusion：Wind-phlegm syndrome is main in all stroke syndromes,wind-phlegm stagnation is the basic cause of acute period of ischemic stroke.This conclusion afford power foundation for the therapy that wind and phlegm should be treated simultaneously.