急性缺血性中风病与慢性脑供血不足的临床证候对比研究

The Comparison Study of Clinical Syndrome about Acute Ischemic Stroke and Chronic Cerebral Circulation Insufficiency

目的研究急性缺血性中风病与慢性脑供血不足的证候区别及演变。方法制定证候观察表,调查急性缺血性中风病病人100例,慢性脑供血不足病人300例,应用四格表确切概率法或卡方检验进行统计分析。结果急性缺血性中风病病人更容易出现发热、骨蒸潮热、多汗,心烦易怒、神不守舍、神情淡漠、胡言乱语、情绪低落、倦怠乏力、耳鸣、面红、口唇干红、口干口渴、口角流涎、口臭、声高气粗、呃逆、胁痛胁胀、肢体抽搐、肢体肿胀、肢体拘急、遗尿、尿失禁、小便不利、舌胖大、齿痕,苔厚、腻、黄、灰黑,脉弦(P<0.05或P<0.01);慢性脑供血不足病人较急性缺血性中风病病人更容易出现健忘、睡眠减少、头痛、头晕、恶心、苔少或无,苔白,脉滑(P<0.05或P<0.01)。结论慢性脑供血不足多为阴类实证,但一旦缺血性中风发病,会产生更多的热象,阴类证中也有很多从阴类实证转化为阴类虚证。

Objective To study the clinical syndrome difference between Acute Ischemic Stroke（ AIS） and onic Cerebral Circulation Insufficiency（ CCCI）,and their evolution. Methods Draw up the traditional Chinese medicine（ TCM） syndrome questionnaire,make investigation and study on 100 AIS patients and 300 CCCI patients,using the statistics method of Exact Probabilities in fourfold tabl or Chi-square test to analyze the results. Results The TCM syndromes appeared easily on acute ischemic stroke patients： fever,hectic fever,hyperidrosis,vexation,mental derangement,apathia,speech confusion,be down in spirits,burnout,hypodynamia,tinnitus,flushing,oral lip stem and red,thirst,salivation,halitosis,sound resounding,hiccup,hypochondriac pain or distention,convulsion,limb swelling,muscle tone,enuresis,urinary incontinence,dysuria,fat tongue,tongue with teeth moulage on its edge,fur thick,greasy fur,yellow fur,grey-black fur,wiry pulse（P〈 0. 05 or P〈 0. 01）. While the TCM syndromes appeared easily in CCCI patients： amnesia,sleep decreased,headache,dizziness,nausea,scanty fur,white fur,slippery pulse（P〈 0. 05 or P〈 0. 01）. Conclusion In CCCI cases,it＇s yin syndromes that appear more common than yang syndromes.While when AIS occurs,it tends to show more hot syndromes. And many yin similar syndromes in the majority with empirical syndromes transformed into yin similar syndromes in the majority with deficiency syndromes.