广西地区脑梗塞患者早期中医证候分布特点

Distribution Characteristic of TCM Syndrome of Cerebral Ischemic Stroke at Early Stage Within Guangxi Region

目的：探讨广西地区脑梗塞患者早期中医证候学特点。方法：收集在广西医科大学第一附属医院经CT／MRI检查证实，且符合中医中风病诊断标准的脑梗塞住院患者，在发病的1-3d，通过中医四诊获得临床资料，参照1996年国家中医药管理局脑病急症科研协作组制定的《中风病诊断疗效评定标准》，辨证分型；分析其症状、证型分布的特点。结果：半身不遂在脑梗塞患者早期出现概率较大，占所有症状的29．3％，其次是头晕、口眼歪斜、肢体麻木，分别占20．6％、16．3％、13．3％；中医证型所占比例由高到低依次为：风痰瘀阻型〉痰热腑实型〉气虚血瘀型〉风痰火亢型〉阴虚风动型〉风火上扰型〉痰湿蒙神型。结论：广西地区脑梗塞患者早期最常见的症状有半身不遂、头晕、口眼歪斜；证型以风痰瘀阻为多。

Objective： To investigate the distribution characteristic of TCM syndrome of cerebral ischemic stroke at the early stage within Guangxi region. Methods： Through strict selective criterion, we chose a sample .from the acute cerebral ischemic stroke （CIS） in-patients from the First Affiliated Hospital of Guangxi Medical University. All the patients were diagnosed by CT/MRI, and complied with a standard of the diagnostic criteria of stroke of TCM which was issued by the State Administration of Traditional Chinese Medicine in 1996. Over the course of 1-3 days, the clinical data was collected through the TCM diagnose. All the data was analyzed by SPSSI3.0 software. Results： The most comment symptoms of CIS cases were hemiplegia, accounting for 29.3%; followed by dizziness, accounting for 20.6%. The distribution of the characteristic of CSI were as follows： wind-phlegm and blood stasis〉 phlegm-heat and sthenia of Fu-organ〉qi deficiency and blood stasis〉wind-phlegm and yang-hyperactivity〉 Yin-deficiency and wind generating〉wind-fire to the seven facial orifices〉obstruction of brilliant by phlegm and dampness. Conclusion： Hemiplegia, dizziness and facial distortion were the common syndromes in clinic. The major TCM syndrome of CSI was wind-phlegm and blood stasis in Guangxi region.