糖尿病并发急性脑梗死的证候研究

Syndrome Research for Diabetes Complicated by Cerebral Infarction

目的:探讨糖尿病并发急性脑梗死的中医证候分型标准,指导临床辨证治疗。方法:对入选的309例糖尿病并发急性脑梗死病例进行中医四诊信息采集,运用描述性分析、聚类分析、频数归一化权重计算等统计学方法。结果:糖尿病并发急性脑梗死最常见的中医证候分型有4个:痰热腑实证105例(占34.0%),气虚血瘀证90例(占29.1%),风痰上扰证64例(占20.7%),痰瘀阻络证50例(占16.2%)。结论:糖尿病并发急性脑梗死的证候分型以痰热腑实证最多,其次为气虚血瘀证,再次为风痰上扰证,痰瘀阻络证相对最少。本研究还发现痰瘀互结,腑气不通是糖尿病并发急性脑梗死的重要证候特征,提出祛瘀涤痰通腑是治疗本病的基本原则。

Objective ： To investigate the grouping standardization of TCM syndrome to guide the clinical treat- ment from differentiation. Method： 309 cases with diabetes complicated by cerebral infarction were diagnosed by collecting the information through four methods of examination in TCM. With description analysis, cluster analysis and pykno - normalization the information was analyzed for statistics. Result ： There were four kinds of grouping of TCM syndrome for diabetes complicated by cerebral infarction, which were excess syndrome of phlegm - heat （ 105 cases, 34% ） , syndrome of blood stasis caused by qi deficiency （90 cases, 29.1% ） , syndrome of anemogenous phlegm disturbing head （64 cases, 20.7 % ） , and syndrome of phlegm and stasis blocking collaterals （50 cases, 16.2% ）. Conclusion ： For the grouping of TCM syndrome for diabetes complicated by cerebral infarction, excess syndrome of phlegm - heat was the most, then syndrome of blood stasis caused by qi deficiency, and then syn- drome of anemogenous phlegm disturbing head. Syndrome of phlegm and stasis blocking collaterals was the least. The study found that interties of phlegm and stasis and fu - qi being obstructed were the most important syndrome characteristics, and put forward that removing blood stasis, washing away the phlegm, and clearing fu were the basic principle for treating the disease.