基于电子医疗数据的缺血性中风病患者证型分布特点

Distribution of TCM Syndromes of Ischemic Stroke Patients Based on Electronic Medical Data

目的：研究真实世界中缺血性中风病患者的证型分布特点,以及各证型分布与患者年龄、性别、节气的关系。方法：选择全国4家三级甲等中医医院的医院信息系统（Hospital Information System,HIS）中出院第一诊断为缺血性中风病,且具有中医证型记录的住院患者信息,采用频数统计方法对患者的中医证型与患者年龄、性别、节气等的分布特点进行分析。结果：在6302例缺血性中风病患者中,各中医证型以风痰瘀阻证最多,为2374例（37.67%）,其次为气虚血瘀证1219例（19.34%）和肝肾阴虚证1052例（16.69%）;入院患者中风痰瘀阻证和气虚血瘀证均以60-74岁的患者居多,分别为1013例（42.72%）和572例（46.92%）;各证型分布男性患者普遍多于女性患者;缺血性中风病在寒露和惊蛰-立夏等几个节气入院患者较多。结论：基于HIS数据发现真实世界中缺血性中风病住院患者总数及各证型分布均是男性多于女性,且都以风痰瘀阻证为最多,入院患者年龄主要集中在60-74岁,各证型入院节气主要集中在寒露和惊蛰-立夏阶段。

Objective：To study the characteristics of syndrome types in patients with ischemic stroke distribution in the real world and the relationship between syndrome type distribution and patients＇ age, gender and solar term. Methods ： Among the Hospital Information System（HIS） in four national three -level first -class hospitals of Traditional Chinese Medicine （TCM）, patients whose first diagnosis was ischemic stroke when leaving hospitals and have records of TCM syndromes were selected. By using statistical methods of frequency, the distribution characteristics in TCM syndromes types and patients ages, genders and climates. Results ： Among 6302 cases of patients with ischemic stroke, the syndrome of wind - phlegm and blood stasis was most common,accounting for 37.67% （2374 cases ） ,followed by qi deficiency and blood stasis syndrome in 1219 cases （ 19.34% ） and liver - kidney Yin deficiency syndrome in 1052 cases （ 16.69% ）. Patients of phlegm stasis and Qi deficiency and blood stasis syndrome were mostly at the age of 60 - 74 were respectively 1013 cases （42.72%） and 572 cases （46.92%）. The syndrome distribution of male patients was more common than that of female patients. The ischemic stroke patients were mostly admitted to hospitals at the Cold Dew and the Insects Awaken - the Beginning of Summer and several patients. Conclusion ： HIS data found in the real world of ischemic stroke inpatients and the total numbers of each type of syndromes distribution are more in men than in women and by the wind - phlegm and blood stasis syndrome was most common. Patients are mainly concentrated in the age of 60 - 74 years old and the admission throttles are mainly concentrated in the Cold Dew and the Insects Awaken - the Beginning of Summer.