摘要
目的探讨出血性中风病急性期中经络证、中脏腑证与脑CT征象的相关性,为中风病的中医诊断及治疗提供更为可靠的依据。方法选择经CT诊断为脑出血急性期患者80例,根据双盲原则,由中医医师通过四诊进行中医中风病病名诊断及分类,同时由放射科医师填写脑出血部位、出血量、中线移位情况等脑CT征象。分析中风病急性期中经络证、中脏腑证与脑CT征象的相关性。结果中经络证者所占比例明显低于中脏腑证者(P<0.05);中经络证者基底节区(壳核、丘脑)出血者所占比例明显高于中脏腑证者(P<0.05),而脑干所占比例明显低于中脏腑证者(P<0.05)。中经络证1型、2型及中脏腑证阳闭、脱证者中基底节区(壳核、丘脑)出血者所占比例最高,而中脏腑证阴闭者脑叶出血者所占比例最高,各证候间脑出血部位构成比差异均有统计学意义(P均<0.05)。中经络证者出血量明显少于中脏腑证者(P<0.05),发生中线移位、破入脑室及周围水肿者所占比例明显低于中脏腑证者(P均<0.05)。中经络证1型、2型患者出血量及中线移位、破入脑室及周围水肿所占比例比较差异均无统计学意义(P均>0.05);而中脏腑证脱证者出血量明显高于阴闭、阳闭者(P均<0.05),阴闭者明显高于阳闭者(P<0.05),中脏腑证各证候发生中线移位及周围水肿者所占比例比较差异均无统计学意义(P均>0.05),而破入脑室所占比例脱证者明显高于阴闭、阳闭者(P均<0.05)。出血性中风病急性期证候(中经络证、中脏腑证)与脑出血部位、出血量、中线移位、破入脑室及周围水肿情况存在明显的相关性(P均<0.05)。结论出血性中风病急性期中经络证、中脏腑证与脑CT征象存在明显的相关性,CT影像学手段不仅能有效提高中风病诊断的准确性,而且能为中风病的中医诊断及辨证治疗提供更为可靠的客观量化依据。
Objectvie It is to investigate the correlation of acute hemorrhagic stroke involving the meridian ,viscera symp-tom complex and craniocerebral CT signs ,and provide more reliable basis for the TCM diagnosis and treatment of stroke dis-ease.Methods 80 cerebral hemorrhage patients diagnosed by CT were selected as the research object , according to the princi-ple of double blind , the disease diagnosis and classification of TCM stroke disease were given by the traditional Chinese medi -cine doctors through the four diagnostic ,and filled in the craniocerebral CT signs such ascerebral hemorrhage site ,amount of bleeding, midline shift condition and so on .The correlation of acute hemorrhagic stroke involving the meridian ,viscera symp-tom complex and craniocerebral CT signs were analyzed .Results The proportion of the meridian symptom complex patients was lower than the viscera symptom complex patients （P〈00.5 ）,the proportion of basal ganglia region （putamen, thalamus） of the meridian symptom complex patients was significantly higher than the viscera symptom complex patients （P〈0.05）,and the proportion of brain stem was significantly lower than the viscera symptom complex patients （P〈0.05）.The meridian symptom complex（type 1, type 2）,the viscera symptom complex Yang shutting syndrome ,the viscera symptom complex prostration syn-drome occured in the basal ganglia region （putamen, thalamus）was the highest proportion ,and the viscera symptom complex Yin shutting syndrome occured in the lobes was the highest proportion ,the difference of the cerebral hemorrhage site constituent ratio of each syndrome had statistical significance .The proportion of the bleeding amount ,midline shift,the broken into the ven -tricle and the surrounding edema of the meridian symptom complex patients were significantly lower than the viscera symptom complex（P〈0.05）.There was no statistically significant difference of the indicators such as the bleeding amount ,midline shift between the meridian symptom com
出处
《现代中西医结合杂志》
CAS
2016年第22期2395-2398,2410,共5页
Modern Journal of Integrated Traditional Chinese and Western Medicine
基金
广西壮族自治区卫生厅资助项目(E2013049)
关键词
中风
脑出血
中经络证
中脏腑证
stroke
cerebral hemorrhage
meridian symptom complex
viscera symptom complex
