摘要
目的:探讨偏头痛患者中医证型分布及其与对比增强经颅多普勒超声(cTCD)下右向左分流(RLS)级别的关系分析。方法:回顾性选取2020年10月~2022年5月本院收治的偏头痛患者105例作为研究对象,根据中医证型分为肝阳上亢组(n=34)、肾虚头痛组(n=27)、气血不足组(n=23)和痰浊头痛组(n=21),分析不同证型偏头痛患者的中医体质分布情况。所有患者均行cTCD检查,观察不同证型的偏头痛患者RLS的阳性检出率、分型及分级。结果:105例偏头痛患者中,阴虚质占比最多为35.24%,其次为气虚质21.90%和气郁质11.43%,淤血质和特禀质占比最少,均为0.95%,其中肝阳上亢组以阴虚质和气郁质为主,肾虚头痛组以阴虚质和阳虚质为主,气血不足组以气虚质为主,痰浊头痛组以湿热质和痰湿质为主。105例偏头痛患者的RLS阳性率为67.62%(71/105),其中固有型53.52%,潜在型46.48%;Ⅰ级22例(30.98%)、Ⅱ级14例(19.72%)、Ⅲ级35例(49.30%)。不同中医证型偏头痛患者的RLS分型比较无明显差异(P>0.05),但RLS的阳性检出率及分级比较均有明显差异(P<0.05),其中肝阳上亢组和痰浊头痛组的阳性检出率最高,分别为82.35%和80.95%,且肝阳上亢组和痰浊头痛组均以Ⅲ级为主,肾虚头痛组和气血不足组均以Ⅰ级为主。结论:偏头痛患者的不同中医证型与cTCD下RLS的分级存在一定关系,Ⅰ级以肾虚头痛证和气血不足证为主,Ⅲ级以肝阳上亢证和痰浊头痛证为主。
Objective:To explore the distribution of TCM syndromes and their relationship with grading of right-to-left shunt(RLS)under contrast-enhanced transcranial Doppler(cTCD)in migraine patients.Methods:A total of 105 patients with migraine admitted to the hospital were retrospectively enrolled as the research objects between October 2020 and May 2022.According to TCM syndromes,they were divided into liver-yang hyperactivity group(n=34),kidney-deficiency headache group(n=27),qi-blood deficiency group(n=23)and phlegm-turbid headache group(n=21).The distribution of TCM constitutions in patients with different syndromes was analyzed.All underwent cTCD examination to observe positive detection rate,classifications and grading of RLS in migraine patients with different syndromes.Results:In the 105 migraine patients,proportion of yin deficiency constitution was the highest(35.24%),followed by qi deficiency constitution(21.90%),qi stagnation constitution(11.43%),congestion constitution(0.95%)and idiosyncratic constitution(0.95%).In liver-yang hyperactivity group,main types of constitution were yin deficiency constitution and qi stagnation constitution.In kidney-deficiency headache group,main types of constitution were yin deficiency constitution and yang deficiency constitution.In qi-blood deficiency group,main constitution type was qi deficiency constitution.In phlegm-turbid headache group,main constitution types were damp-heat constitution and phlegm-dampness constitution.The positive rate of RLS in the 105 migraine patients was 67.62%(71/105),including 53.52%with intrinsic type and 46.48%with latent type.There were 22 cases at grade I(30.98%),14 cases at grade II(19.72%)and 35 cases at grade III(49.30%).There was no significant difference in RLS classifications among migraine patients with different TCM syndromes(P>0.05),but there were significant differences in positive detection rate and grading of RLS(P<0.05).The positive detection rates in liver-yang hyperactivity group and phlegm-turbid headache group were the highest
作者
乔缘
韩芸
李敬茹
邵宪瓶
韩宝华
QIAO Yuan;HAN Yun;LI Jingru(Department of Emergency,The First Affiliated Hospital of Hebei North University,Zhangjiakou Hebei 075000,China;Department of Emergency ICU,The First Affiliated Hospital of Hebei North University,Zhangjiakou Hebei 075000,China)
出处
《四川中医》
2023年第10期88-91,共4页
Journal of Sichuan of Traditional Chinese Medicine
基金
河北省卫生健康委科研基金项目(编号:20220030)
关键词
偏头痛
中医证型
对比增强经颅多普勒超声
右向左分流
分级
Migraine
TCM syndrome
Contrast-enhanced transcranial Doppler ultrasound
Right-to-left shunt
Grading
