|
|
|
| A Study on the Distribution of Traditional Chinese Medicine Syndrome Elements in Patients with Acute Cerebral Infarction Complicated with Hypertension |
| LIU Huanhuan, LI Benzhi, et al |
| Dongzhimen Hospital, Beijing University of Traditional Chinese Medicine, Beijing 100700, China |
|
|
|
|
Abstract Objective: To study the distribution of traditional Chinese medicine (TCM) syndrome elements in patients with acute cerebral infarction complicated with hypertension. Methods: The clinical data of 195 patients with acute cerebral infarction were collected, accordance with the Diagnostic Scale of Ischemic Stroke. Then to analyze the TCM syndrome elements distribution of patients with cerebral infarction of two groups (with hypertension group and without hypertension group) by statistical methods. Results: The first three syndromes in 195 patients with acute cerebral infarction were phlegm dampness in 52 cases (26.7%), internal fire in 43 cases (22.05%) and Qi deficiency in 36 cases (18.5%).In terms of the incidence of coronary heart disease, the hypertension group (21.9%) was significantly higher than the non-hypertension group (6.1%), with statistical significance of the difference (P<0.05). In different ages, the occurrence rate of internal fire syndrome in the elderly (27.6%) was higher than that in the middle-aged(11.6%), and the occurrence rate of Qi deficiency syndrome in the middle-aged (23.2%) was higher than that in the elderly(15.4%). The above differences were statistically significant(P<0.05). There was no statistical significance in the distribution of syndrome elements in patients with acute cerebral infarction(P>0.05).The distribution of syndrome elements of hypertensive cerebral infarction patients with different levels of blood pressure was different. Compared with hypertensive cerebral infarction patients with grade III (24.0%),qi-deficiency syndrome was more common in patients with grade I(14.3%) and grade Ⅱ (5.5%), and the difference was statistically significant (P<0.05).The frequency of phlegm-dampness syndrome was higher in the non-hypertensive group (38.8%) than in the hypertensive group (22.6%), and the difference in the distribution between the two groups was statistically significant (P<0.05). Conclusion: Patients with acute cerebral infarction mainly include phlegm dampness, internal fire, and gas deficiency. Hypertension is closely related to coronary heart disease and cerebral infarction, and the distribution of TCM syndromes elements of patients with acute cerebral infarction were different at different ages and hypertension levels. Non-hypertension group had a higher proportion of sputum dampness syndrome than in hypertension group.
|
|
|
|
|
|
[1] 《中国脑卒中防治报告2019》编写组.《中国脑卒中防治报告2019》概要[J].中国脑血管病杂志,2020,17(5):271~281.
[2] 王拥军,李子孝,谷鸿秋,等.中国卒中报告2019(中文版)(1)[J].中国卒中杂志,2020,15(10):1037~1043.
[3] 季梦漂,周德生,李中,等.脑梗死中医证素分布与组合规律研究[J].辽宁中医杂志,2017,44(1):9~11.
[4] 中国高血压防治指南(2018年修订版)[J].中国心血管杂志,2019,24(1):24~56.
[5] 彭斌,吴波.中国急性缺血性脑卒中诊治指南2018[J].中华神经科杂志,2018,51(9):666~682.
[6] 国家中医药管理局脑病急症协作组.中风病诊断与疗效评定标准[J].北京中医药大学学报:中医临床版,1996,19(1):55~56.
[7] 方锐,胡镜清,彭锦,等.基于因子分析的老年高血压中医证素特征研究[J].中华中医药杂志,2016,31(12):5040~5044.
[8] 刘俊丽.心、脑及下肢动脉粥样硬化性疾病中医用药规律研宄[D].北京中医药大学,2017.
[9] 王金宝.基于医案回顾的中风病急性期气虚血瘀证临床特点及演变趋势研究[D].北京中医药大学,2016.
[10] 张健,聂志玲,张腾.缺血性中风急性期气虚证与神经功能缺损程度及预后关系研究[J].中华中医药杂志,2019,34(10):4856~4860.
[11] 刘楠茜.益气活血法对脑梗死急性期(气虚血瘀证)的临床疗效观察[D].广西中医药大学,2018.
[12] 荣立洋.缺血性中风病痰湿证证素特点研究[D].山东中医药大学,2017.
[13] 丁盈月.中医证候要素、颈动脉斑块风险分级与缺血性中风复发的相关性分析[D].长春中医药大学,2020. |
|
|
|
2021, Vol. 27 
