缺血性脑卒中269例中医辨证分型研究

269 Cases of TCM Zheng Differentiation-Classification Research on Cerebral Ischemic Stroke

目的:探讨广东韶关地区缺血性脑卒中患者中医证型特点,为缺血性脑卒中中医针灸辨证取穴提供依据。方法:将269例我院门诊及住院部确诊为缺血性脑卒中患者按照中医四诊收集患者信息和中医证型资料进行中医辨证分型并分析各型所占比例。结果:韶关地区缺血性脑卒中中医证型特点有一定规律。急性期以中经络为主,其中痰热腑实证最多;恢复期及后遗症期以中经络为主,且均以气虚血瘀证多见。结论:韶关地区缺血性脑卒中患者急性期以痰热腑实证为主,恢复期及后遗症期以气虚血瘀证为主。针灸治疗应根据其证型,辨证取穴。

Objective：To study the distribution features of TCM symptom of cerebral ischemic stroke in Shaoguan. For ischemic stroke TCM acupuncture differentiation location provides the basis. Methods：Analyze the proportion of 269 cases with cerebral ischemic stroke according to four diagnostic methods and pattern of syndrome. Results ： Pattern of syndrome of cerebral ischemic stroke in Shaoguan has a certain rule. Acute phase mainly shows apoplexy involving both collateral and meridian, especially Tanrefushi syndrome. Convales-cence and sequelae phase mainly show apoplexy involving both collateral and meridian,especially qi asthenia and blood stasis. Conclu-sion：Acupuncture therapy should be based on syndrome differentiation and point locating according to pattern of syndrome.