急性脑卒中磁共振成像与中医辨证分型的关联性分析

目的探讨急性脑卒中患者磁共振成像(MRI)与中医辨证分型的关联性。方法选取2019年3月至2020年10月本院收治的161例急性脑卒中患者,入院后均进行MRI检查,根据《现代中医内科学》中急性脑卒中的中医辨证分型标准,分别统计急性脑卒中不同证型相应的MRI检查病灶分布及病灶大小情况。结果气虚血瘀型急性脑卒中的病灶多分布于放射冠(59.57%),风痰阻络型病灶多分布于基底节(60.00%),肝阳暴亢型病灶多分布于额叶(19.05%)、颞叶(19.05%)、脑干(19.05%),阴虚风动型病灶多分布于放射冠(25.00%)、颞叶(25.00%)、脑干(50.00%),痰热腑实型病灶多分布于脑干(28.57%)、额叶(19.05%)。阴虚风动型、风痰阻络型、肝阳暴亢型及气虚血瘀型急性脑卒中患者MRI检查所示病灶以小片状为主,痰热腑实型患者MRI检查所示病灶以大片状为主。结论不同证型急性脑卒中患者MRI检查所示的病灶分布、大小存在差异,且两者之间存在一定关联性,临床上可结合患者症状表现与MRI检查结果进行辨证施治,以保证治疗的有效性及安全性。

Objective To explore the correlation between MRI examination and TCM syndrome differentiation in patients with acute stroke.Methods A total of 161 patients with acute stroke admitted to our hospital from March 2019 to October 2020 were selected,and MRI examinations were performed after admission.According to the TCM syndrome differentiation criteria for acute stroke in"Modem Chinese Medicine Internal Medicine",the acute brain was counted separately the distribution of the lesions and the size of the lesions corresponding to the different syndromes of stroke.Results The lesions of Qi deficiency and blood stasis type acute stroke are mostly located in the radiation crown(59.57%),the wind-phlegm blockage type lesions arc mostly located in the basal ganglia(60.00%),and the liver-yang hyperactivity type lesions are mostly located in the frontal lobe(19.05%).Temporal lobe(19.05%),brain stem(19.05%),yin-deficiency wind-movement type lesions are mostly distributed in the radiation crown(25.00%),temporal lobe(25.00%),brain stem(50.00%),phlegm-heat-fu-organs solid type The lesions were mostly distributed in the brain stem(28.57%)and frontal lobe(19.05%).The lesions shown in MRI examination of acute stroke patients with yin deficiency and wind type,wind-phlegm obstructing collaterals,liver-yang hyperactivity,and qi deficiency and blood stasis type are mainly small slices,and the lesions shown in MRI examination of patients with phlegm-heat and solid type are mainly Mainly large flakes.Conclusion There are differences in the distribution and size of the lesions in the MRI examinarion of patients with different syndromes of acute stroke,and there is a certain correlation between the two.Clinically,the symptoms and manifestations of the patients can be combined with the results of the MRI examination for treatment to ensure the effectiveness of treatment and safety.