摘要
目的:探讨脑梗死牛津郡社区卒中项目(OCSP)分型的构成及不同亚型与中医中风病诊断的关系。方法:收集首次发病的脑梗死患者336例,按照OCSP分型标准分为全前循环梗死型(TACI)、部分前循环梗死型(PACI)、后循环梗死型(POCI)和腔隙性梗死型(LACI),并按照1996年制定的《中风病诊断、疗效及评价标准》进行中风病诊断,分析OCSP不同亚型与中风病诊断的关系。结果:西医脑梗死及中医中风病总体诊断符合率76.2%,OCSP分型各亚型构成比及诊断符合率分别为TACI10.7%和100%,PACI30.4%和97.1%,POCI33.9%和71.9%,LACI25.0%和46.4%。TACI和POCI、LACI之间、PACI和POCA、LACI间比较差异有统计学意义;而TACI和POCI之间比较差异无统计学意义,TACI和PACI基本符合中医中风病诊断,而前循环和后循环、腔隙性梗死之间差异明显。结论:西医脑梗死与现有中医中风病诊断标准的不完全等同,现有中医中风病的诊断应参考现代理化检测特别是影像学结果。
Objective： To compare the differences in stroke nonaggressive diagnosis between TCM and western medicine. Method： Through strictly selective criterion, we selected some CI hospitalized patients as samples from the department of neurology in our hospital,which were made a definite diagnosis by CT/MRI. The TCM stroke diagnosis was based on the diagnostic criteria of stroke which was issued by National Administration of TCM in 1996. After collecting the patient＇s symptoms and signs, radiographic outcomes and biochemical test results, we classified the samples based on the OCSP classification. The data was analyzed by SPSS 17.0 software. Then, contrasted the differences of stroke diagnosis between TCM and those CI patients classified by OCSP classification. Results： the diagnostic coincidence rate of cerebral infarction and TCM stroke diagnosis overall was 76. 2% , the composition ratio and diagnosis coincidence rate of each subtype of OCSP classification are respectively： TACI 10. 7% and 100% ; PACI 30.4% and 97.1% ; POCI33.9 % and 71.9% ; LACI25.0 % and 46.4%. There was significant difference among the different OCSP subtypes and TCM stroke diagnosis. Through the multiple comparison analysis, TACI and PACI, POCI, LACI, PACI and POCI, LACI, POCI and LACI had significant difference,but TACI and PACI was not significant difference. Conclusion： The diagnosis between the cerebral infarction and TCM stroke is not completely equal. Existing stroke diagnosis of TCM should be reference for modern physical and chemical testing especially imaging results.
出处
《中国中医基础医学杂志》
CAS
CSCD
北大核心
2014年第12期1654-1656,1667,共4页
JOURNAL OF BASIC CHINESE MEDICINE
基金
广西中医药管理局立项课题(GZZC1319)
