中风的中医辨证与颅脑CT影像的研究

Studies on syndrom e differ classification of traditional Chinese medicine and im age of cerebrocranial CT for stroke

目的 :探讨中风的中医辨证与颅脑 CT影像的关系 ,以求正确指导临床治疗。方法 :根据患者症状进行辨证分型 ,将中风分为两期、三主证、四次证 ;总结出 197例中风患者各证型和 6例中风先兆的颅脑 CT影像规律。结果 :中经络证以脑梗死表现为主 ,中脏腑证以脑出血为多见 ,两证的 CT表现存在显著性差异 ( χ2 =2 4 .4 2 ,P<0 .0 0 5 )。中风后遗症几乎全部表现为病灶的软化、吸收改变 ;中风先兆以皮质下动脉硬化性脑病表现为多见 ,伴有腔隙性脑梗死的患者复中率较高。结论 :中风的颅脑 CT影像与中风的各中医征象有密切关系 ,对中风患者及时作 CT检查有利于正确诊断。

Objective:To investigate the cerebrocranial CT im ages of stroke omen in order to guide the clini- cal treatment.Methods:According to patient′s sym ptoms the syndrom e differ types were carried out.The stroke was divided into two stages,three main syndrom es,and four secondary syndromes.In 197cases with stroke the regulations of cerebrocranial CT image of different syndrome types as well as CT im age of stroke omen in 6patients with stroke were summ orized.Results:The patients with Zhongjingluo(中经络 ) m ainly pre- sented cerebral infarction but the patients with Zhongzangfu (中脏腑 ) more comm only presented cerebral haemorrhage and in com parison between two syndromes in CT manifestations the differences were significant (χ2 =2 4 .4 2 ,P<0 .0 0 5 ) .The segulae of stroke almost all showed encephalomalacia and absorption of ill focus furtherm ore the omen of stroke much m ore usually presented atherosclerotic encephalopally of subcortex.The restroke rate in patients with lacunar infarction was higher.Conclusions:There is a tight relationship between CT images and types of stroke,however provides the objective evidences for diagnosis of stroke of traditional Chinese m edicine,syndrome differ classification,prevention,and treatm ent m oreover decreases the blindness in treatm ent in a great extent.