摘要
目的:探讨短暂性脑缺血发作患者证候要素组合与分布规律。方法:通过临床流行病学横断面调查获取493例短暂性脑缺血发作患者四诊资料,以基于熵的复杂系统分划方法提取证候要素,确定症状贡献度,建立诊断阈值,通过阈值辨证结果,分析本病证候要素组合与分布规律。结果:短暂性脑缺血发作存在气虚、气滞、血瘀、痰浊、阴虚、火热等证候要素,可有单一证候要素、2个证候要素、3个证候要素、4个证侯要素及4个以上证候要素组合类型,气虚、气滞、痰浊在本病证候要素总体分布及组合分布中出现频率较高。结论:短暂性脑缺血发作主要病机特点为气虚为本,气滞、痰浊为标,临床应全面分析。
Objective：To find the combination and distribution regularity of TCM syndrome element of transient ischemic attack patients.Methods： The data of 493 cases of transient ischemic attack patients were obtained by clinical epidemic cross-sectional study,and the extraction of syndrome element,contribution of symptoms to syndrome and diagnostic threshold were completed by entropy-based complex systems partition.The combination and distribution regularity of syndrome element in the disease was analyzed according to the result of the quantization diagnostic criteria of syndrome.Results： The disease of transient ischemic attack has the basic syndromes,such as qi deficiency syndrome,qi stagnation syndrome,blood stasis syndrome,phlegm and damp syndrome,stagnation-fire syndrome,yin deficiency syndrome.It showed the combination types of 1 syndrome,2 syndromes,3 syndromes or 4 and above syndromes.Qi deficiency syndrome,qi stagnation syndrome,phlegm and damp syndrome turned a high frequency in transient ischemic attack patients.Conclusion： The disease of transient ischemic attack had complicated pathogenesis.Qi deficiency syndrome,qi stagnation syndrome,phlegm and damp syndrome were the main pathogenesis elements.Overall analysis should be done before diagnosis.
出处
《中华中医药杂志》
CAS
CSCD
北大核心
2008年第6期484-486,共3页
China Journal of Traditional Chinese Medicine and Pharmacy
基金
国家重点基础研究发展计划(973计划)项目(No.2005CB523301)
关键词
短暂性脑缺血发作
证候要素
基于熵的复杂系统分划方法
病机
Transient ischemic attack
Syndrome element
Entropy-based complex systems partition method
Pathogenesis
