基于CNKI的中风后遗症期中医证型分布与证素组合规律研究

Study on the Distribution of TCM Syndrome Types and Combination Rules of Syndrome Elements Based on CNKI of Stroke Sequelae Phase

目的:对中风后遗症期的中医证素分布和组合规律进行统计分析,为中风后遗症期提供临床诊疗思路。方法:参考纳入标准及排除标准,检索2009-2019年间在中国学术期刊全文数据库(CNKI)收录的文献,利用Excel建立数据库,SPSS Modeler 18.0软件描述数据。结果:气虚血瘀证是中风后遗症期最常见的证型,占32.54%;肝、经络、肾、脾为常见病位证素,血瘀、气虚、痰、火热、阴虚为常见病性证素;病位证素以肝、经络单独发病较多见,病性证素组合以气虚兼血瘀最常见;证素间关联置信度最高的是经络→痰(100.00%)。结论:中风后遗症期的治疗应以调肝舒经、活血化瘀为主,兼以滋肾健脾、清热化痰。

Objective:To statistically analyze the distribution and combination of TCM syndrome elements in stroke sequelae phase,and to provide clinical diagnosis and treatment ideas for stroke sequelae phase.Methods:The inclusion criteria and exclusion criteria were refered to,then searched the literature collected in the China National Knowledge Infrastructure(CNKI)from 2009 to 2019,and used Excel to build the database and SPSS Modeler 18.0 software to describe the data.Results:Qi deficiency and blood stasis syndrome was the most common syndrome type of stroke sequelae phase,accounting for 32.54%.The common syndrome elements of disease’s location were Liver,meridians,kidney and spleen.And the common syndrome elements of disease’s nature were Blood stasis,Qi deficiency,phlegm,fire,Yin deficiency.The more common syndrome elements of disease’s location were the liver and the meridians.And the most common combination of syndrome elements of disease’s nature was Qi deficiency and blood stasis.The highest credibility between the syndrome elements was meridians→phlegm(100.00%).Conclusion:The most common syndrome type of stroke sequelae phase is Qi deficiency and blood stasis syndrome.The common syndrome elements are blood stasis,Qi deficiency,phlegm,liver,fire,Yin deficiency.Wind and Qi stagnation are the key pathological factors of stroke sequelae phase.