南宁市中风病病人的体质辨识分析

Analysis of physique identification of patients with apoplexy in Nanning

目的:通过对南宁市区及其六县300例中风病人中医体质调查,分析本区域内中风病病人体质类型分布特点,掌握城区内中风病人体质情况,寄望通过体质研究及干预来降低中风的发病率,更好地预防中风病的再发。方法:对300例中风病病人,采用体质辨识系统、调查问卷及量表的形式进行中医体质辨识。结果:阳虚质、气虚质、痰湿质为此此调查人群的主要体质类型。男性中风病要较女性高发(P<0.05),男性湿热、痰湿体质多余女性,而女性气虚体质、气郁体质较男性更为常见。结论:通过将体质辨识的方法引入到中风病的诊疗中,拓展了中医临床的思维空间,丰富了中医临床诊疗体系,对临床的预防、治疗都有重要的指导意义。

Objective:To provide epidemiological survey data for TCM constitution dialectical of300stroke patients in Nanning and its six neighboring countries.Analyzing the type andcharacteristics of TCM constitution of the different stroke patients,to reducing the incidence andrecurrence of stoke.Methods:300patients with stoke were analyzed in the form of physical identification system by collecting information of tongue,complexion and pulse,questionnaire and scales to conductthe TCM physical identification.Results:Yang deficiency,qi deficiency and phlegm-wetness type were the major types of constitutions of the survey population.The incidence of stroke among men was higher than that of women,and the key pathogenesis in males were wet-heat constitution and phlegm-wetness,and in females qi deficiency and qi depression(P<0.05).Conclusion:Through the epidemiological investigation on TCM physical identification of stroke patients,it enlarges the horizon as well as promotes clinical significance to the diagnosis and treatment of TCM.It has very important practical value and can guide the early clinic prevention and treatment.