ESRS在中医不同证型急性脑梗死中的应用

Risk Factor Evaluation of Different TCM Syndrome Types of Acute Cerebral Infarction Patients Using Essen Stroke Risk Score

目的分析Essen卒中风险评分(essen stoke risk score,ESRS)在评价不同中医证型急性脑梗死危险因素中的意义。方法通过二元回归法对我院2018年1月—2019年11月接收的发病时间<2周的急性脑梗死患者共98例的危险因素开展分析,所有患者均依据《中医内科疾病诊疗常规》当中的缺血性中风分型标准分成风痰瘀阻型、肝阳暴亢型两种证型各有49例,同时按要求进行相应ESRS评分。结果风痰瘀阻型的ESRS评分平均值为2.50分,6分最高,0分最低,其中0~2分共26例,3~6分共23例;肝阳暴亢型的ESRS评分平均值为2.86分,6分最高,0分最低,其中0~2分共20例,3~6分共29例,两组比较无显著性差异(P>0.05)。两种证型患者的ESRS评分多分布在中高危,其中风痰瘀阻型中危占53.06%,高危占46.94%;肝阳暴亢型中危占40.82%,高危占59.18%。而年龄、伴糖尿病及高血压等基础性疾病、不良生活习惯等是评分中的重要因素。结论对卒中患者和未发生卒中的高危人群开展ESRS评分能为卒中防治和中医辨证分型及干预提供积极的指导作用。

Objective To study the risk factors of different TCM syndrome types of acute cerebral infarction patients using Essen stroke risk score(ESRS).Methods Through binary regression method,risk factors about 98 acute cerebral infarction patients with onset time<2 weeks(January 2018-November 2019)were investigated.According to the criteria for ischemic stroke typing of《TCM Diagnosis And Treatment Conventions Of Internal Diseases》,all patients were assigned to wind-phlegm and stasis syndrome group and liver-yang and fulminant syndrome group,49 cases in each group.ESRS scores were counted.Results ESRS scores in windphlegm and stasis syndrome group were ranged from 0 to 6 with an average value of 2.50,including 26 cases with 0~2 scores and 23 cases with 3~6 scores.ESRS scores in liver-yang and fulminant syndrome group were ranged from 0 to 6 with an average value of 2.86,including 20 cases with 0~2 scores and 29 cases with 3~6 scores;there were no significant betweengroup differences(P>0.05).The ESRS scores of patients with the two syndrome types were mostly distributed in the middle and high risk,and the moderate and high-risk proportion of wind-phlegm and stasis syndrome group was 53.06%and 46.94%;the moderate and high-risk proportion of liver-yang and fulminant syndrome group was 40.82%and 59.18%;the influence factors of ESRS scores were age,complications of diabetes mellitus and hypertension,unhealthy living habits.Conclusion For stroke patients and high-risk non-stroke patients,ESRS scores play a guiding role in the disease prevention,TCM syndrome differentiation and treatment interventions.