中风病急性期血糖升高的中医证候分布规律研究

Study on Distributive Regularity of TCM Syndromes in Stroke Patients Complicated with Hyperglycemia

目的 探讨中风病急性期血糖升高的中医证候分布规律，以指导临床治疗。方法 对 149例中风病急性期患者按其症状、舌象、脉象进行辨证分析，并对其中血糖升高的患者进行证候分布研究。结果 中风病急性期血糖升高中医证候多分布在风痰瘀血、痰热腑实、痰热蒙蔽心神证，提示与痰浊有关。结论 治疗应在常规基础上配合中药化痰除湿，以取得更好临床效果。

To investigate distributive regularity of TCM syndromes in stroke patients complicated with hyperglycemia.Methods:The TCM syndromes of 149 stroke patients in acute stage were differentiated based on symptoms,picture of the tongue and type of pulse,in which the distribution of syndromes in patients with hyperglycemia was studied.Results:The stroke patients with hyperglycemia mainly had wind? phlegm and blood stasis syndrome,phlegm? heat and excess of fu? organs syndrome,and phlegm? heat confusing the mind syndrome.It is suggested that acute stage of stroke complicated with hyperglycemia is associated with phlegm and damp. Conclusion:Routine treatment plus Chinese herbal drugs for resolving phlegm and removing dampness may obtain good clinical effects.