不同中医证型后循环脑梗死患者磁共振成像病灶特点分析

Lesion patterns on MRI in patients with posterior circulation infarction with different TCM syndromes

目的探讨后循环脑梗死MRI病灶特点与中医辨证分型的相关性。方法回顾性分析了2012年5月-2015年5月上海中医药大学附属岳阳中西医结合医院卒中单元收治的82例后循环脑梗死患者，由2位经过规范化脑血管病诊疗培训的研究人员分别收集患者资料。按病史中四诊信息判定中医证型，依据MIu资料进行脑梗死容积测算及病灶血管分段判定并进行统计学分析。结果后循环脑梗死中经络患者后循环远段梗死者（21例）多于近段（13例）、中段（16例）、混合（9例）患者（P=0．006）；中脏腑患者脑梗死容积大于中经络患者[（14．78±5．68）ml比（9．12±6．67）ml，P=0．001]。结论中经络患者后循环远段梗死发生率多于其他部位，中脏腑患者脑梗死容积较大。

Objective To study the characteristics of MR/Lesions in posterior circulation cerebral infarction and the correlation of the syndrome types of traditional Chinese medicine. Methods 82 patients with posterior circulation cerebral infarction from May 2012 to May 2015 were recruited, two observers estimated cranial MRI infarct size, location, and TCM syndrome type in the hospital medical records of the patients separately. ResuRs Of all patients with posterior circulation cerebral infarction, patients with meridians involved infarction in the distant part of posterior circulation is far more than other parts of the posterior circulation（21 patient, P=0.006）, nevertheless, patients with apoplexy involving Zang-fu organs, cerebral infarction volume is larger （14.78± 5.68 ml vs. 9.12 ±6.67 ml, P=0.001）. Conclusion Of all patients with posterior cerebral infarction, patients with meridians be involved, infarction in the distant part of posterior circulation is far more than other parts of the posterior circulation, nevertheless, in patients with apoplexy involving Zang-fu Organs, cerebral infarction volume is larger.