主 办:北 京 中 医 药 大 学
ISSN 1006-2157 CN 11-3574/R

北京中医药大学学报 ›› 2019, Vol. 42 ›› Issue (3): 248-253.doi: 10.3969/j.issn.1006-2157.2019.03.011

• 临床研究 • 上一篇    下一篇

症状性脑动脉狭窄的中医证素分析*

翟盼, 丁砚兵#   

  1. 湖北省中医院脑病科 湖北 430074
  • 收稿日期:2018-09-20 出版日期:2019-03-30 发布日期:2019-04-02
  • 通讯作者: # 丁砚兵,男,主任医师,教授,博士生导师,主要研究方向:中医药防治脑病,E-mail:dingyanbing@hbhtcom.com
  • 作者简介:翟盼,男,硕士,住院医师
  • 基金资助:
    国家中医药管理局中医临床研究基地业务建设科研专项资助项目(No.JDZX2015295)

Chinese medical pattern factors of symptomatic cerebral artery stenosis*

Zhai Pan, Ding Yanbing#   

  1. Department of Cerebral Disease, Chinese Medicine Hospital of Hubei Province, Hubei 430074, China
  • Received:2018-09-20 Online:2019-03-30 Published:2019-04-02
  • Contact: Prof. Ding Yanbing, Chief Physician, Doctoral supervisor. Department of Cerebral Disease, Chinese Medicine Hospital of Hubei Province. E-mail: dingyanbing@hbhtcm.com
  • Supported by:
    Professional Development Research Project of National Chinese Medicine Clinical Research Base of State Administration of Traditional Chinese Medicine (No. JDZX2015295)

摘要: 目的 探讨症状性脑动脉狭窄中医证素的特点。方法 选取2015年12月至2018年6月湖北省中医院脑病科门诊及住院140例确诊为脑动脉狭窄患者,录入动脉狭窄程度、既往病史、临床表现、证素等信息,依据临床表现将患者分为症状性脑动脉狭窄组118例、无症状脑动脉狭窄组22例,观察分析症状性及无症状的脑动脉狭窄患者的中医证素特点;将症状性脑动脉狭窄患者依据脑动脉狭窄程度分为轻度组、中度组、重度组,分析各组中医证素特点。结果 风证是症状性脑动脉狭窄最常见的中医证素类型(P<0.05),二者呈现正相关关系,风证在轻度和中度脑动脉狭窄所占比例最大,风证的常见临床表现包括:舌体颤抖、脉弦、头晕目眩、病情数变。结论 脑动脉狭窄与中医证素风证最为相关,与痰、血瘀亦有较密切联系,把握和应用脑动脉狭窄患者的证素规律,对于有脑卒中危险因素的患者早期进行积极干预,可以防止中风发作。

关键词: 脑动脉狭窄, 症状性, 中医证素, 风证

Abstract: Objective To investigate the characteristics of pattern factors of traditional Chinese medicine (TCM) of symptomatic cerebral artery stenosis (SCAS). Methods The patients diagnosed with cerebral artery stenosis (CAS, n=140) were chosen from Out-patient and In-patient Department in Chinese Medicine Hospital of Hubei Province from Dec. 2015 to June 2018. The information of CAS severity, past medical history, clinical symptoms and TCM pattern factors were collected. The patients were divided, according to clinical symptoms, into SCAS group (n=118) and non-SCAS group (n=22). The characteristics of TCM pattern factors were observed and analyzed in 2 groups. SCAS group was divided, according to CAS severity, into mild CAS group, moderate CAS group and severe CAS group. The characteristics of TCM pattern factors were analyzed in all groups. Results Wind pattern was the most common type of TCM pattern factor of SCAS (P<0.05), and they were positively correlated to each other. The percentage of wind pattern was the highest in mild CAS group and moderate CAS group. The common symptoms of wind pattern included tongue trembling, wiry pulse, dizziness and rapid changes of illness. Conclusion CAS was closely correlated to wind pattern (one of TCM pattern factors), and also related to phlegm and blood stasis. To understand and grasp the laws of TCM pattern factors of CAS can intervene early the patients with stroke risk factors and prevent them from stroke attack.

Key words: cerebral artery stenosis, symptomatic, Chinese medical pattern factors, wind pattern

中图分类号: 

  • R255.3