中医中风病证候动态诊断的研究

A study on dynamic diagnosis for syndromes of stroke in TCM

目的:从中医学的角度研究中风病证候动态诊断的影响因素。方法:以350例中风患者为研究对象,其中男性203例,女性147例。结果:男性患者的痰证动态诊断均值明显高于女性,男性患者痰证和阴虚阳亢证的比例显著高于女性,女性患者气虚证的比例显著高于男性,上述诊断指标之间存在显著差异(P<0.05),具有统计学意义。在年龄段因素上,风证、痰证和血瘀证与患者的年龄段关系非常密切,年龄越高,证候诊断分值就越高。结论:采用中医中风病证候动态诊断患者的中风类型并研究相关影响因素,可以有针对性地对患者进行治疗和护理,提高患者的生活质量。

Objective:To study the influencing factors of the dynamic diagnosis for syndromes of stroke from the perspective of TCM.Methods:350 cases were selected and were studied,including 203 cases of males and 147 cases of females.Results:The average value of the dynamic diagnosis of phlegm syndrome in male patients was significantly higher than that in females.The proportion of phlegm syndrome and Yin deficiency and Yang hyperactivity(阴虚阳亢证)in male patients was significantly higher than female patients.The proportion of Qi deficiency syndrome(气虚证)in female patients was significantly higher than male patients.There were statistically significant differences in the above indicators between male patients and female patients(P<0.05).In terms of age factors,wind syndrome,phlegm syndrome,and blood stasis syndrome are closely related to the age of patients.The higher the age of patients,the higher the syndrome diagnosis score.Conclusion:Applying dynamic diagnosis for syndromes of stroke in TCM and studying related influencing factors can provide targeted treatment and care for patients,and improve the life quality of patients.