老年颈动脉粥样硬化超声狭窄程度分型与中医证型的关系

RelationshipBetween Ultrasound Stenosis Degree and the Syndrome Type of Traditional Chinese Medicine in Senile Carotid Atherosclerosis

目的:探索老年颈动脉粥样硬化超声狭窄程度与中医辨证分型的关系。方法:将120例颈动脉粥样硬化(CAS)患者按中医证型分为气血两虚、肝肾亏虚、痰浊上蒙、瘀血阻窍、肝阳上亢5型,分析其中医证型与狭窄程度的关系。结果:老年CAS患者中医证型分布总体呈现以痰浊上蒙型为主,超声狭窄程度以Ⅲ级最多。结论:CAS患者中医辨证分型以痰浊上蒙为主,而超声显示为Ⅲ级狭窄,提示痰浊上蒙可能是导致CAS加重的病因。

Objective: To explore the relationship between the degree of carotid atherosclerosis stenosis(CAS) by ultrasonography and the types of traditional Chinese Medicine syndrome.Methods: A total of 120 patients of CAS were divided into five categories as both blood and qi,deficiency in both liver and kidney,stagnation of phlegm,blood-stasis stagnated in orifice,and ascendant hyperactivity of liver-yang according to TCM syndrome differentiation.The relationship between TCM syndrome type and degree of CAS was analyzed.Results: The distribution of TCM syndrome type showed that stagnation of phlegm constitutes the majority of the five types in CAS patients.And most CAS cases were in Ⅲ degree under ultrasound.Conclusion: Most CAS patients were in the type of stagnation of phlegm by TCM classification and Ⅲ degree of stenosis by ultrasound,and it suggests in TCM theory that stagnation of phlegm might result in the deterioration of CAS.