庆阳市脑梗死患者危险因素筛查及中医体质学分析

TCM Constitutions and Risk Factor Screening of Patients Suffering from Cerebral Infarction from Qingyang Municipality

目的:调查庆阳市脑梗死患者危险因素的筛查及中医体质分型情况。方法:选择2011年9月至2012年9月在庆阳市人民医院神经内科就诊的766病脑梗死患者为观察组,并以同期在体检中心行健康体检且无脑血管病史和神经科症状的人群1 215人为对照组,从人口学特点、危险因素及中医体质特点等方面进行分析。结果:庆阳市最常见的3个脑梗死发病危险因素是血脂异常、高血压和吸烟;中医痰湿体质型易患脑梗死,其次为气虚、气郁、血瘀等。结论:在脑梗死的二级预防中应该重视全面的危险因素筛查干预,并根据中医体质分型进行辨证干预。

Objective：To survey TCM constitutions and risk factors screening of the patients with cerebral in-farction from Qingyang Municipality. Method：All 766 patients admitted from September, 2011 to September, 2012 in the department of neurology were as the observation group, 1 215 patients undergoing physical examination were as the control group. The conditions were analyzed from the features of demography, risk factor and TCM constitu-tions. Result：There were three common risk factors：abnormal blood lipids, hypertension and smoking;the patients with the constitutions of phlegm-dampness were vulnerable to cerebral infarction, the next were Qi deficiency, Qi stag-nation and blood stasis. Conclusion：In the secondary prevention of cerebral infarction, we should pay attention to the interventions of general risk factor screening and syndrome differentiation according to TCM constitutions.