缺血性中风急性期中医证候要素文献研究

Literature research of TCM syndrome elements in acute stage of ischemic stroke

目的:探讨缺血性中风病急性期中医证候的规律。方法:对中国知网(1979年-2013年)、万方数据(1990年-2013年)、维普期刊数据库(1989年-2013年)的全部期刊进行高级检索,对符合要求的缺血性中风急性期的证候和证候要素进行规范,原始数据用Excel建立数据库,用SPSS 11.5进行频数统计。结果:共纳入24篇文献,10 150例缺血性中风急性期患者。经统计发现,缺血性中风急性期基本证候要素的发生频率以血瘀证居多,其次为痰证、风证;证候多以证候组合的形式出现,以两证、三证组合形式为主;证候组合分布情况两证组合表达以瘀+痰证最多,三证组合表达以瘀+痰+风证最多。结论:血瘀证是缺血性中风病急性期主要的基本证候要素,瘀+痰证、瘀+痰+风证是缺血性中风病急性期主要的证候组合形式。

Objective： To research the rule of TCM syndrome of acute stage of ischemic stroke. Methods： By advanced searching of the periodicals in CNKI（1979-2013）, Wanfang Data（1990-2013） and VIP（1989-2013） databases, analyzing the satisfactory syndrome and syndrome elements of acute stage of ischemic stroke, build up an Excel data-base for the original data and compute the frequency with SPSS 11.5. Results： Incorporate 24 literatures in totals, and 10 150 patients of acute stage of ischemic stroke. The statistics shows that the syndrome of acute stage of ischemic stroke often appears as the combination patterns especially two or three syndromes; the blood stasis is the most frequent syndrome elements, phlegm and wind syndromes are the second; the combination and distribution of two syndromes is mainly the blood stasis-phlegm syndrome, three syndromes is mainly the wind-blood stasis-phlegm. Conclusion： The blood stasis is the basic syndrome element in acute stage of ischemic stroke, and the blood stasis-phlegm and wind-blood stasis-phlegm are the important combination patterns in acute stage of ischemic stroke.