浅谈进展性脑梗死的中医证型特点

TCM Syndrome Characteristics of Progressive Cerebral Infarction

目的探讨进展性脑梗死的中医辨证特点。方法采用对照研究的方法 ,比较进展组与非进展组5种中医证型的侧重差异。结果进展组与非进展组中医证型分布对照:风痰阻络,气虚血瘀两个证型在两组分布上存在显著差异(P<0.01)。中医辨证分型与主要危险因素的关系:1)风火上扰证:低密度脂蛋白的数值存在显著差异(P<0.01)。2)风痰阻络证:血糖异常,低密度脂蛋白的数值,颈动脉粥样硬化存在明显差异(P<0.05或P<0.01)。3)痰热腑实证:颈动脉粥样硬化存在明显差异(P<0.05)。4)阴虚风动证:各危险因素未见有明显差异。5)气虚血瘀证:C反应蛋白数值存在显著差异(P<0.01)。结论风痰阻络证在进展性脑梗死中更为多见,若其同时伴有血糖异常,高同型半胱氨酸血症,颈动脉粥样硬化更容易进展。痰证与进展密切相关。

Objective： To investigate the TCM syndrome differentiation of progressive cerebral infarction. Methods： With A case-control study method,the differences of the two groups were compared in 5 kinds of TCM syndrome type. Results： 1） Progress of the group and non progression group distribution of TCM syndromes in control group： progress of TCM to wind phlegm,phlegm heat accumulation mainly,and non progression group with Qi deficiency and blood stasis,wind phlegm rare,of which wind phlegm,Qi deficiency and blood stasis syndrome type two distinct differences in the distribution of the two groups on（P〈0.01）. 2） The relationship between TCM syndrome type and the main risk factors：（1）The wind fire on interference syndrome： numerical low density lipoprotein had distinct differences in progress of the group and non progression group（P〈0.01）.（2） The wind phlegm syndrome： there were obvious difference in the concurrent with Pathoglycemia,values of low density lipoprotein and carotid atherosclerosis（P〈0.05 or P〈0.01）.（3）The phlegm heat and fu organ empirical syndrome： There were differences of carotid atherosclerosis（P〈0.05）.（4）The Yinxu Fengdong syndrome： No all risk factors had obvious difference.（5）Qi deficiency and blood stasis syndrome： there were obvious differences in C reactive protein（P〈0.01）. Conclusion： Wind phlegm syndrome more is in patients with progressive cerebral infarction. If accompanied by Pathoglycemia,hyperhomocysteinaemia,carotid atherosclerosis is more likely to progress.