大面积脑梗死不同时期中医证候及理化指标特点分析

Analysis on characteristics of physicochemical indexes and syndromes in TCM of massive cerebral infarction at different stages

目的:1探讨大面积脑梗死不同时期中医证候及理化指标特点。2探讨大面积脑梗死不同证候组间,理化指标特点。方法:将纳入研究的63例大面积脑梗死患者,按照发病时间不同分组(急性期31例,恢复期32例),探讨组间中医证候及理化指标差异。并将这部分患者按照中医辨证不同,重新分组(风痰瘀阻组29例、气虚血瘀组18例,其他证候组13例),探讨不同中医证候组间,理化指标特点。结论:1脑梗死急性期以风证、痰证为主,恢复期以虚证、瘀证为主。2风痰瘀阻证患者血脂指标明显高于气虚血瘀组。

Objective： ①To investigate the characteristics of physicochemical indexes and syndromes in TCM of massive cerebralinfarction in different periods. ②To investigate the characteristics of physicochemical indexes among the different TCM groups. Methods：63 cases with cerebral infarction were included and grouped according to the different time of onset （31 cases in acute phase, 32 cases inrecovery phrase）. The characteristics of physicochemical indexes and TCM were explored. Then, the patients were grouped again accordingto the different syndromes in TCM（29 cases of wind-phlegm syndrome,18 cases of qi deficiency and blood stasis, 13 cases of othersyndromes） ,the characteristics of physicochemical indexes were explored among the groups. Results： ① The main syndrome in acutephase are Wind and phlegm syndromes, The main syndrome in recovery phase are deficiency and blood stasis syndromes. ② The level ofblood lipids in wind-phlegm syndrome group is higher than that in other group with qi deficiency and blood stasis.