颅内外动脉狭窄支架术前后中医证候变化的初步探讨

Intracranial artery stenosis stenting syndrome before and after the changes discussed

目的：评价颅内外动脉狭窄支架术前后中医证候的变化,进行初步分析探讨.方法：将2006-2008年本院收治的30例颅内外动脉狭窄患者于颈内动脉颅内、外段以及椎、基底动脉31根狭窄的动脉上放置31枚支架.术前、术后1-3 d、术后（14±3） d和术后（30±3） d对患者进行中医证候调查,并填写〈中医证候临床信息采集表〉,对支架术前后中医证候积分的变化进行统计分析.结果：颅内外动脉狭窄患者支架植入术前多表现为风证、痰证、血瘀证,较少表现为阴虚阳亢证、火热证;术后3 d、（14±3） d时各中医证候积分均较术前有所下降,阴虚阳亢证、火热证的积分仍然较低,风证积分明显下降,血瘀证积分逐渐下降,痰证积分下降幅度较小,气虚证积分基本保持稳定.结论：颅内外动脉狭窄患者的证候规律为风证、血瘀证、痰证、气虚证兼而为患,其中痰证、气虚证在颅内外动脉支架术后积分下降不明显,提示为支架术前后持续存在的中医病理因素,可能是支架术后再狭窄的重要原因.

Objective： To evaluate the intracranial artery stenosis stenting Syndrome before and after the change of the preliminary analysis. Methods： 2006-2008, 30 patients admitted to our hospital with intracranial artery stenosis in the intracranial internal carotid artery, external segment and the vertebral, basilar artery 31 artery stenosis stent placement 31. Before and after the first 1-3 d, after （14±3）d and after （30±3） d of the investigation Syndrome patients, and fill out the ＂ TCM clinical information collection table＂, on the scaffold symptom score in patients before and after changes in statistical analysis. Results： Patients with intracranial artery stenosis before stent implantation show more evidence for the wind, phlegm, blood stasis, little evidence showed yin, FHP; after 3 d, （14±3） d hours the symptom score compared with the preoperative down, yin syndrome and Heat card points still relatively low, the wind syndrome in significantly decreased blood stasis syndrome in decreased gradually decrease phlegm syndrome in small, Qi deficiency points remained stable. Conclusion： Patients with intracranial artery stenosis Gist of the wind permits, blood stasis, phlegm, qi deficiency and the infestation, in which phlegm, qi deficiency in the intracranial artery stenting obvious points decline, suggesting that the stent the persistence of Chinese medicine before and after the pathological factors of restenosis after stenting may＂ be an important factor.