椎—基底动脉供血不足性眩晕的中医体质与证候相关性研究

Study on the Correlation between TCM Constitution and Syndrome of Vertebrobasilar Artery Insufficiency Vertigo

目的:探讨椎--基底动脉供血不足性眩晕(VBIV)的中医体质与证候的分布及相关性特点,为其辨证论治提供依据。方法:通过回顾性的调查,对60例椎—基底动脉供血不足性眩晕患者的中医体质、中医症状、舌相、脉象等数据进行了收集,并运用描述性统计分析,对其主要症状、舌象、脉象、证素及中医体质的分布特点进行了分析。结果:①60例VBIV患者中,中医体质类型判定为:痰湿质者>阴虚质者>血瘀质者>气虚质者>阳虚质者。②60例VBIV患者中有眩晕症状者55例(91.6%),眩晕为主要症状,其次为盗汗(40%)、发热(30%)、呕吐(30%)、心悸(32%)、头疼(28%)、健忘(26%)、多梦(24%)等。③通过对症状、舌脉分析得到的VBIV中医证候主要为肝肾阴虚证、痰浊中阻证、瘀血阻窍证、气血亏虚证、风痰上扰证等。④主要体质类型与中医证候的关系:痰湿质者易出现痰浊中阻证(P<0.05)、风痰上扰证(P<0.05);阴虚质者易出现肝肾阴虚证(P<0.05);血瘀质者易出现瘀血阻窍证(P<0.05);气虚质者易出现气血亏虚证(P<0.05)等。结论:该研究初步明确了VBIV患者的体质类型与证候具有明显相关性,为未来从中医体质与证候方面研究VBIV提供了理论及实践依据。

Objective:To explore the distribution and correlation characteristics of traditional Chinese medicine constitution and syndromes of vertebral-basilar artery insufficiency vertigo(VBIV),and to provide a basis for syndrome differentiation and treatment.Methods:Through retrospective investigation,the TCM constitution,TCM symptoms,tongue appearance,pulse condition and other data of 60 patients with vertebral-basilar artery insufficiency vertigo were collected,and descriptive statistics were used to analyze their main symptoms,The distribution characteristics of tongue,pulse,syndrome factors and TCM constitution were analyzed.Results:(1)Among the 60 VBIV patients,the TCM constitution types were determined as:phlegm-dampness constitution>Yin deficiency constitution>blood stasis constitution>Qi deficiency constitution>Yang deficiency constitution.(2)Among the 60 VBIV patients,55(91.6%)had vertigo symptoms.Dizziness was the main symptom,followed by night sweats(40%),fever(30%),vomiting(30%),palpitations(32%),Headache(28%),forgetfulness(26%),dreaminess(24%),etc.(3)The TCM syndromes of VBIV obtained through the analysis of symptoms,tongue and pulse are mainly liver and kidney yin deficiency syndrome,phlegm obstruction syndrome,blood stasis blocking the orifices,Qi and blood deficiency syndrome,wind and phlegm disturbance syndrome,etc.(4)The relationship between main constitution types and TCM syndromes:People with phlegmdampness constitution are prone to phlegm-turbid obstruction syndrome(P<0.05)and wind-phlegm upper disturbance syndrome(P<0.05);those with Yin deficiency constitution are prone to liver-kidney Yin syndrome Deficiency syndrome(P<0.05);patients with blood stasis constitution are prone to blood stasis blocking the orifices(P<0.05);patients with Qi deficiency constitution are prone to Qi and blood deficiency syndrome(P<0.05).Conclusion:This study preliminarily clarified that there is a significant correlation between the constitution types and syndromes of VBIV patients,and provides theoretical and practical basis for future research on VBIV from the aspects of TCM constitution and syndromes.