脑卒中（含短暂性脑缺血发作）伴/不伴颅外动脉狭窄患者危险因素比较及中医证候要素分析

姬少珍; 张允岭; 张志辰; 赵晖; 寿好长; 高芳; 王朝歆; 王建伟; 李涛; 杨阳; 贾蓓; 郝颖; 张志军; 杨秀泉; 张永顺; 吴浩

doi:10.3969/j.issn.1006-2157.2015.01.014

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脑卒中（含短暂性脑缺血发作）伴/不伴颅外动脉狭窄患者危险因素比较及中医证候要素分析

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- 脑卒中（含短暂性脑缺血发作）伴/不伴颅外动脉狭窄患者危险因素比较及中医证候要素分析
- Risk factors and TCM syndrome elements: a comparison of stroke patients with / without extracranial artery stenosis
- 北京中医药大学学报 2015年38卷第1期页码：63-67
- 作者机构：
  
  1. 北京中医药大学
  2. 北京中医药大学东方医院
  3. 北京中医医院顺义医院
  4. 北京市丰台区蒲黄榆社区卫生服务中心
  5. 北京市丰台区王佐社区卫生服务中心
  6. 北京市丰台区花乡社区卫生服务中心
  7. 北京市丰台区方庄社区卫生服务中心
- 作者简介：
- 基金信息：
  
  2011年医改重大专项资助项目();北京中医药大学创新团队发展计划资助项目（No.2011-CXTD-23）();国家中医药管理局2010年度中医药行业科研专项资助项目（No.201007002）();国家中医药管理局2014年度中医药行业科研专项资助项目（No.201007001）();2011年北京市科技计划资助项目（No.Z111107056811040）()
- DOI：10.3969/j.issn.1006-2157.2015.01.014
  中图分类号： R743.3
- 纸质出版：2015-01-01
- 稿件说明：
移动端阅览
[1]姬少珍,张允岭,张志辰,赵晖,寿好长,高芳,王朝歆,王建伟,李涛,杨阳,贾蓓,郝颖,张志军,杨秀泉,张永顺,吴浩.脑卒中(含短暂性脑缺血发作)伴/不伴颅外动脉狭窄患者危险因素比较及中医证候要素分析[J].北京中医药大学学报,2015,38(01):63-67+72.

JI Shao-zhen, ZHANG Yun-ling, ZHANG Zhi-chen, et al. Risk factors and TCM syndrome elements: a comparison of stroke patients with / without extracranial artery stenosis[J]. Journal of Beijing University of traditional Chinese Medicine, 2015, 38(1): 63-67.
[1]姬少珍,张允岭,张志辰,赵晖,寿好长,高芳,王朝歆,王建伟,李涛,杨阳,贾蓓,郝颖,张志军,杨秀泉,张永顺,吴浩.脑卒中(含短暂性脑缺血发作)伴/不伴颅外动脉狭窄患者危险因素比较及中医证候要素分析[J].北京中医药大学学报,2015,38(01):63-67+72. DOI： 10.3969/j.issn.1006-2157.2015.01.014.

JI Shao-zhen, ZHANG Yun-ling, ZHANG Zhi-chen, et al. Risk factors and TCM syndrome elements: a comparison of stroke patients with / without extracranial artery stenosis[J]. Journal of Beijing University of traditional Chinese Medicine, 2015, 38(1): 63-67. DOI： 10.3969/j.issn.1006-2157.2015.01.014.

摘要

目的分析颅外动脉狭窄与脑卒中含短暂性脑缺血发作（TIA）危险因素的关系

为脑血管病防治提供依据。方法选择既往有脑卒中（含TIA）病史的1 784例脑卒中高危人群

将其分为非颅外动脉狭窄组和颅外动脉狭窄组

比较2组人群脑卒中危险因素及中医症状、舌象、脉象。结果非颅外动脉狭窄组既往TIA患者比例、锻炼少或轻体力劳动者所占比例高于颅外动脉狭窄组。颅外动脉狭窄组既往脑卒中患者比例、空腹血糖升高检出率、吸烟比例高于非颅外动脉狭窄组（P<0.05或P<0.01）。2组患者中医证候要素比较差异无统计学意义（P>0.05）

单一中医症状分布方面

口唇紫暗、肢体笨拙、小便清长等发生率有显著差异（P<0.05或P<0.01）。结论颅外动脉狭窄与脑卒中、空腹血糖升高发生相关。脑卒中（含TIA）患者中医证候要素以火、气虚、阴虚、血瘀、痰、阳虚为主

颅外动脉狭窄与否并不影响中医证候要素类型及分布。

Abstract

Objective To provide the evidence for prevention and treatment of cerebrovascular diseases by studying the correlation between extracranial artery stenosis（ EAS） and the risk factors of the stroke.Methods 1 784 patients who had history of stroke or transient ischemic attack（ TIA） were divided into EAS group（ n = 259） and non-EAS group（ n = 1 525）

and risk factors of stroke

TCM symptoms

tongue manifestation and pulse palpation were observed. Results The proportions of patients having history of TIA

taking little physical exercise and light physical labor in non-EAS group were higher than those in EAS group; the proportions of patients having history of stroke

suffered by high fasting bloodglucose concentration

and using tobacco in EAS group were higher than those in non-EAS group（ P <0. 05 or P < 0. 01）. There was no significant difference in TCM syndrome elements between the two groups（ P > 0. 05）

however

incidence of single TCM symptoms

such as dark purple lips

physically clumsy and urine clear in large amounts showed significant difference in both groups. Conclusion EAS has high correlation with stroke

high fasting blood-glucose concentration. The major syndrome elements of stroke with TIA are fire

qi deficiency

yin deficiency

blood stasis

phlegm

yang deficiency. EAS has no effects on the types and distribution of TCM syndrome elements.

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