糖尿病并脑中风(中经络)中医证候分析

TCM diabetes and stroke analysis

目的:探索糖尿病中风的证类分布、证候要素等临床特征及其变化规律。方法:选取2008年10月～2011年9月我院334例中风的患者,分为糖尿病组175例与非糖尿病组159例,比较两组证类诊断分析,并记录分析糖尿病组患者入院当天、第3天、第10天、第30天的证类分布的变化和证候要素分值的动态变化。结果:两组患者证类分布中以风痰火亢和气虚血瘀存在明显差异(P<0.05),具有统计学意义。糖尿病组患者在证类分布中以风证和痰证的差异明显,在证侯要素分值中以风证及血瘀差异明显。结论:糖尿病并中风患者以气虚血瘀为中医证类特点。

Objective： To explore the frequency distribution and dynamic changes of scores of syndrome elements of Diabetes stroke. Methods： To on 334 cases of acute stroke from October 2008 to September 2011. All patients were divided into diabetic group and non-diabetic group,compare syndrome diagnosis between two groups. Collected the diabetic group＇s relation information such as the syndrome evaluated scores on the day of admission, 3 days, 10 days and 30 days after onset. Results： The common Chinese medical syndrome differences between two groups are wind phlegm with excessive fire,deficiency of Qi and blood stasis. The frequency distribution of stirring of wind and phlegm in diabetic group has obvious differences. The scores of syndrome elements of blood stasis and wind syndrome in diabetic group has obvious differences. Conclusion： The Chinese medical syndrome of diabetic stroke is deficiency of Qi and blood stasis.