178例老年性缺血性中风患者中医体质类型分析研究

178 Cases of Patients with Senile Ischemic Stroke TCM Constitution Type Investigation

目的了解老年缺血性中风患者的中医体质特点。方法采用中医体质量表对178例缺血性中风的老年患者进行中医体质调查,并对正常老年组的体质进行比较。结果缺血性脑中风老年患者出现频率最多的体质类型依次为气虚质、血瘀质,其次为阳虚质和痰湿质,与正常组比较两者差异显著;体质类型分布与性别有明显相关性;不同年龄组出现频率最多的偏颇体质分布如下：60～69岁组,血瘀质（16次,24.62%）、气虚质（15次,23.08%）;70～79岁组气虚质（28次,31.82%）、血瘀质（17次,19.32%）、阳虚质（15次,17.05%）;80岁以上组,血瘀质（17次,39.53%）、气虚质（16次,37.21%）。结论老年人急性缺血性中风患者的中医体质分布有一定规律性且不同年龄组老年人的体质有一定的差异性。

Objective To investigate the traditional Chinese medicine （TCM） physique characteristics about the elderly patients with ischemic stroke. Methods Use of TCM health scale for 178 cases of elderly patients with ischemic stroke of TCM physique survey, and carries on the comparison to normal elderly group＇ s physique. Results Occurrence of ischemic stroke in elderly patients with the most physical types of qi deficiency, blood stasis, significant difference in comparison with the normal group;years group constitutional type distribution and gender have significant correlation;Different age groups most frequency bias physical distribution is as follows： 60~69 years group, blood stasis （16 times, 24.62%）, deficiency of mass （15, 23.08%）; 70-79 years group set of qi deficiency （28 times, 31.82%）, blood stasis mass （17, 19.32%）, Yang （15, 17.05%）; More than 80-year-old group, blood stasis （17, 39.53%）, qi deficiency （16 times, 37.21%）. Conclusion The elderly patients with acute ischemic stroke TCM physical distribution has certain regularity and different age of the elderly＇s physique has the deficiency certain differences.