缺血性中风急性期中医证候规律探讨

Law exploration of syndrome of traditional Chinese medicine in acute cerebral ischemic stroke

目的研究缺血性中风急性期中医证候规律。方法选择2015年9月1日至2016年11月30日在我院接受治疗的33例中风患者作为研究对象,对患者的临床诊断资料进行分析,研究缺血性中风急性期中医证候规律。结果中风病急性期的证候分布包括风证、痰证、火热证、气虚证以及血瘀证等;年龄>60岁的患者的风证、痰证、火热证、气虚证、阴虚阳亢证及血瘀证比例均明显高于≤60岁的患者(P<0.05);单一证候4例,两证组合9例,三证组合5例,四证组合15例,以四证并存的患者数量较多。中风病急性期患者的舌象特点是舌质红以及舌黯红,舌苔多呈现白以及厚腻,患者的脉象也多以弦滑为主。结论缺血性中风病急性期以风证为主要的中医证候,以风火痰瘀证4证组合较为多见,患者年龄大多集中在60岁以上。

Objective To study the regularity of syndrome of traditional Chinese medicine(TCM)in acute cerebral ischemic stroke.Methods Thirty-three stroke patients who underwent treatment in our hospital from September 1,2015 to November 30,2016 were selected as the study objects,the clinical diagnostic data of patients were analyzed to study the TCM syndromes in the acute phase of ischemic stroke.Results The syndromes of acute cerebral ischemic stroke were wind syndrome,phlegm syndrome,heart-syndrome,Qi deficiency syndrome and blood stasis syndrome.The wind syndrome,phlegm syndrome,heart-syndrome,Qi deficiency syndrome,syndrome of hyperactivity of Yang due to Yin deficiency and blood stasis syndrome in age>60 years old were higher than those of age>60 years old(P<0.05).A single syndrome were in 4 cases,two syndromes co-exist were in 9 cases,three syndromes co-exist were in 5 cases,four syndromes co-exist were in 15 cases,the four syndromes co-exist had a larger number of patients.In acute cerebral ischemic stroke patients,the feature of tongue picture were dark red tongue and red tongue,the tongue was white and stodgily,the main pulse was taut and rolling pulse.Conclusion The main TCM syndrome of acute cerebral ischemic stroke is wind syndrome,wind,heart,phlegm and blood stasis co-exist is more common,most patients are concentrated in the 60 years old or older.