摘要
目的探究中风病急性期高血压病组、非高血压病组的证候要素演变规律，比较两组的区别。方法采用课题“中风病临床诊疗规律挖掘及辨证论治方案验证的研究”病例观察表对高血压组和非高血压组的63例中风病急性期患者的临床四诊信息进行动态采集及评分。结果①第10天，阴虚证在非高血压病组证侯要素得分升高超过高血压病组[分别为（12．83±9．97）分、（8．64±5．90）分]；第14天，血瘀证在高血压病组证侯要素得分升高超过非高血压病组[分别为（12．21±7．71）分、（8．07±8．61）分]。②高血压病组入院第1天至14天内，风证、内火证、痰湿证的证侯要素得分逐渐下降，血瘀证（9．85±7．23）分逐渐升高；非高血压病组入院第1～14天内，风证、内火证、痰湿证分值逐渐下降，阴虚证（12．21±7．71）分逐渐升高。结论高血压病血瘀证在中风病的证候规律演变中更为突出。
Objective To discuss evolution regularity of Chinese Medicine Syndromes and neurological impairment of acute stroke patients with and without hypertension, and to contrast differences between the two groups. Methods Case observation table of ＂Clinical diagnosis and treatment of stroke patients dialectical law mining and verification of the program of treatment＂ was adopted to record clinical diagnostic messages of 63 cases of non-hypertension and hypertension acute stroke patients. Results ① Contrasting syndrome elements between the two groups it showed that on the tenth day, scores of yin deficiency in non-hypertension group score （12.83 ± 9.97） increased significantly than hypertension group score （8.64±5.90） with statistical significance （P〈0.05） ; on the fourteenth day, scores of blood deficiency in hypertension group score （12.21±7.71）increased significantly than non-hypertension group score （8.07±8.61）, with statistical significance （P〈 0.05）. ② In hypertension group, from the first day to the fourteenth day of admission, scores of wind, hot and phlegm gradually reduced, but scores of blood deficiency gradually score （9.85 ± 7.23） increased, with statistical significance. In non-hypertension group, from the first day to the fourteenth day of admission, scores of wind, hot and phlegm gradually reduced, but scores of yin deficiency gradually score （12.21±7.71）increased, with statistical significance （P〈0.05） . Conclusion Hypertension turns blood defiency more prominent in evolution of Chinese medicine syndromes of stroke.
出处
《国际中医中药杂志》
2013年第1期8-10,共3页
International Journal of Traditional Chinese Medicine
基金
北京中医药大学创新团队发展计划（项目编号：No.2011.CXTD一23）
211工程重点学科建设项目,北京中医药大学自主选题项目（项目编号：No.JYB22.JS034）
