危险因素的控制与卒中前病情变化的相关性研究

Relativity between the control situation of risk factors and condition changes before stroke

目的探讨心脑血管事件危险因素的控制与事件发生前病情变化的关系。方法对79例高血压合并血糖异常心脑血管事件高危人群的临床资料进行前瞻性分析。结果高危人群出现病情变化的多寡、所呈现的中医症候与多种危险因素的控制情况如高血压、糖尿病、高脂血症、超重、脑力劳动、喜食肥甘、烟酒嗜好等具有显著相关性。结论心脑血管事件危险因素控制不佳会直接或间接导致高危人群出现病情变化。遵循中医"未病先防、既病防变"的"治未病"思想,早期识别病情变化,针对多重危险因素的控制情况及病情变化的中医症候进行辨证施治,必将有效的减少缺血性心脑血管事件的发生。

Objective To investigate the relationship between control situation of risk factors in cardio-cerebrovascular events and condition changes before the end events.Methods Prospective analysis was carried out on the clinical data of 79 high-risk patients of cardio-cerebrovascular disease with high blood pressure combined glucose abnormalities.Results There were significant correlations between the amount of condition changes and the emerged TCM syndrome of high risk group,and control situations of various risk factors such as hypertension,diabetes,hyperlipemia,overweight、mental work,preferring fat and sweet,cigarettes and wine.Conclusion Poorly controlled cardio-cerebrovascular events risk factors can directly or indirectly lead to condition changes in high risk groups.Following the guide of＂preventive treatment of disease＂——preventive treatment before the occurrence of diseases and preventing deterioration after the occurrence of diseases,identifying condition changes at early stage,and conducting dialectical therapy pointing at control situation of risk factors and condition changes in TCM syndromes,we will effectively reduce the occurrence of cardio-cerebrovascular events.