脑梗死中医证素与危险因素的相关性分析

Correlation Analysis between Traditional Chinese Medicine Syndrome Elements and Risk Factors for Cerebral Infarction

为探究脑梗死患者中医证素与危险因素的相关性,采用回顾性分析的方式,以2021年4月—2022年4月桥西谷银强中西医结合诊所收治的80例脑梗死患者为研究对象,探究脑梗死患者不同证素与职业、性别、年龄等的相关性。80例脑梗死门诊患者依据证素分析性别、年龄段;对实际统计的中医证素和危险因素开展多因素Logistic回归分析,结合P值和OR值,能了解到相关证素和危险因素之间的关系是正相关。结果显示,在门诊脑梗死患者中,吸烟是血瘀、气滞的独立危险因素,其影响程度是气滞<血瘀,吸烟频次越多,脑梗死患者越容易出现血瘀、气滞;职业同样是气虚的独立危险因素;动脉粥样硬化越严重,阴虚、痰、风病性证素则越明显;高尿酸血症是阴虚相对独立的危险因素,尿酸越高,阴虚证素则越明显;住院时间是血瘀、气虚的独立危险因素,影响程度是气滞<血瘀。研究表明,脑梗死的危险因素有高尿酸血症、动脉粥样硬化、吸烟以及年龄,中医证素有气虚、气滞、阴虚、痰、风等。本研究对中医辨证施治脑梗死具有指导意义。

Explore the correlation between traditional Chinese medicine syndrome elements and risk factors in patients with cerebral infarction.Using a retrospective analysis method,80 patients with cerebral infarction admitted to Qiaoxigu Yinqiang Integrated Traditional Chinese and Western Medicine Clinic from April 2021 to April 2022 were studied to explore the correlation between different syndrome factors,occupation,gender,and age in patients with cerebral infarction.According to the analysis of syndrome elements,there are more male patients than female patients in 80 outpatient patients with cerebral infarction;Conducting a multivariate logistic regression analysis on the actual statistics of traditional Chinese medicine syndrome elements and risk factors,combined with P and OR values,can reveal a positive correlation between the relevant syndrome elements and risk factors.The results show that smoking is an independent risk factor for blood stasis and qi stagnation in outpatient patients with cerebral infarction.The degree of influence is that qi stagnation is less than blood stasis.The more frequent smoking,the more likely cerebral infarction patients are to experience blood stasis and qi stagnation.Occupation is also an independent risk factor for qi deficiency,and lack of exercise due to occupation is the core factor for qi deficiency.The more serious Atherosclerosis is,the more obvious the syndrome elements of yin deficiency,phlegm and wind disease are.Hyperuricemia is a relatively independent risk factor for yin deficiency.The higher the uric acid,the more obvious the syndrome elements of yin deficiency.Hospitalization time is an independent risk factor for blood stasis and qi deficiency,and the degree of influence is qi stagnation<blood stasis.Research shows that the risk factors of cerebral infarction include hyperuricemia,atherosclerosis,smoking and age.Traditional Chinese medicine syndromes include qi deficiency,qi stagnation,yin deficiency,phlegm,wind,etc.