脑梗死患者不同中医证型血液流变学比较

Compare of different syndromes of infarction patient of hemorheology

目的：通过观察脑梗死患者不同证型血液流变学的比较、血流变学指标与中医证型的关系，为中医辨证提供客观化参考数据。方法：对60例脑梗死患者，辨证分为风痰瘀阻型、气虚血瘀型和阴虚风动型各20例，同时和正常对照组20例分别对血液流变学指标进行测定。结果：脑梗死组的全血黏度、血浆黏度、红细胞比容、纤维蛋白原及红细胞沉降率与正常对照组比较差异均有统计学意义（P〈0．05）。结论：中风证型与血液流变学变化密切相关，高黏、高凝状态是脑梗死发病的病理基础之一，血液流变学指标可为临床辨证分型的客观化提供一个参考指标。

Objective： To observe the comparison on blood theology between different pattern of syndrome of TCM for cerebral infarction patients, supply objective reference data for differentiation of symptoms and signs. Methods： Differentiation of symptoms and signs to the 60 cases patients into Fengtan Yuzu type, Qixu Xueyu type and Yinxu Fengdong type, stirring of wind due to deficiency of YIN equally, and determin the blood theology. Results： The difference between cerebral infarction group and normal control has statistical significance （P〈0.05） on whole blood viscosity, blood plasma viscosity, erythrocrit, fibrinogen, blood sedimentation rate. Conclusion： Apoplexy pattern of syndrome correlate closely to blood rheology, and high viscosity and hypercoagulabale state are the pathological foundation of cerebral infarction. Target of blood rheology can provid reference target for differentiation of symptoms and signs for classification of syndrome.