144例缺血性中风病证候分布情况与演变规律调查研究

Investigation of Ditribution Situation and Evolution Pattern of Syndrome Factor of 144 Cases of Ishemic Stroke

目的 :通过对缺血性中风病人中医证候分布及演变规律的调查,为缺血性中风病的早期诊断治疗及长期预防提供客观依据。方法 :采取前瞻性调查研究,共收集144例符合诊断标准的缺血性中风病患者,参照《中风病辨证诊断标准》量表,按住院后1 d、10 d,出院后1个月、3个月,共4个时点进行信息采集,结合病例的基线资料,观察各证候的分布及演变规律。结果 :痰证、风证为缺血性中风急性期主要的证候;进入恢复期后,则以气虚证、血瘀证为其主要证候。结论 :提示临床对于缺血性中风的治疗要分期针对不同的病理因素有目的的进行施治,并有针对性的进行预防。

Objective ： To investigate the evolution of climate and the distribution of traditional Chinese medicine syndrome in patients with ischemic stroke, and to provide basis for the early diagnosis and treatment of ischcmic stroke patients and prevention. Methods： By prospective study, a total of 144 patients met the diagnostic criteria of ischemic stroke patients. According to the stroke syndrome diagnostic criteria scale, 1 day, 10 days, 1 month, 3 months after in hospital were the 4 points for information collection. The case of the baseline data was anahzed to observe the distribution and evolution rules. Resuhs ： The phlegm syndrome and wind syndrome of acute ischemic stroke were the main syndromes ; during the recovery period, the syndrome of qi deficiency and blood stasis was the main syndrome. Conclusion ： The treatment of ischemic stroke to stage should be according to the pathological factors of different purposes of therapy, and target for prevention.