脑梗死急性期中医辨证分型与颈动脉粥样硬化的关系探讨

Relationship between Carotid Artery Atherosclerosis and Cerebral Infarction in Acute Stage of TCM Syndrome Differentiation

目的探讨颈动脉粥样硬化与脑梗死急性期中医辨证分型的相关性。方法 90例脑梗死急性期患者,按中医辨证分型分为风痰火亢型、风火上扰型、痰热腑实型、风痰瘀阻型、痰湿蒙神型、气虚血瘀型、阴虚风动型,分别对不同证型的颈动脉彩超检查结果进行回顾性分析。结果 90例脑梗死急性期患者中颈动脉粥样硬化有73例,占总数的81.3%;脑梗死急性期患者中风火上扰型、痰湿蒙神型、痰热腑实型及风痰火亢型颈动脉粥样硬化检出率较其他型显著升高(P<0.05)。结论颈动脉粥样硬化与脑梗死急性期有很强的相关性,颈动脉粥样硬化可能是脑梗死急性期不同证型的内在因素之一,可能与中医的火邪、痰邪有关。

Objective To study the relationship between carotid artery atherosclerosis and cerebral infarction in acute stage of TCM syndrome differentiation. Method 90 cases of cerebral infarction in acute stage, according to TCM syndrome differentiation were divided into seven syndromes： Fengtanhuokang syndrome, Fenghuoshangrao syndrome, Tanrefushi syndrome, Fengtanyuzu syndrome, Tanshimengsheng syndrome, Qixuxueyu syndrome, Yinxufengdong syndrome. The results of carotid color ultrasonography in different syndromes were retrospectively analyzed. Results 73 patients with carotid atherosclerosis in acute stage, accounted for 81.3% ;the detection rate of cerebral infarction in acute stage patients with the syndromes of Fengtanhuokang, Fenghuoshangrao, Tanrefushi, Tanshimengsheng were significantly higher than other groups （P 〈0. 05）. Conclusion There has relationship between carotid artery atherosclerosis and cerebral infarction in acute stage. Carotid artery atherosclerosis may be one of the internal factors of cerebral infarction in acute stage of TCM syndrome differentiation, it may be associated with fire evil, phlegm evil of TCM.