摘要
目的:探讨缺血性脑卒中患者中医体质类型分布及临床特点。方法:选取本院收治的183例缺血性脑卒中患者,参照王琦教授的中医体质分型标准对入选对象进行体质辨别。记录183例缺血性脑卒中患者的中医体质类型分布情况,分析比较各体质类型患者入院时的美国国立卫生研究院卒中量表(NIHSS)评分、血浆脑钠肽(BNP)水平及发病3月后的Barthel指数(BI)评分。结果:183例缺血性脑卒中患者中,以气虚质、痰湿质及血瘀质居多,痰湿质所占比例最高。平和质患者入院时NIHSS评分最低。气虚质、湿热质及血瘀质患者入院时NIHSS评分均高于平和质患者(P<0.01,P<0.05)。阳虚质患者入院时血浆BNP水平最高。平和质、气虚质及阴虚质患者入院时血浆BNP水平均低于阳虚质患者(P<0.01,P<0.05)。各体质类型患者发病3月后BI评分相比,差异无统计学意义(P>0.05)。结论:不同体质类型的缺血性脑卒中患者入院时神经功能缺损程度及病情严重程度不一,经规范化治疗后,效果和预后也存在略微差异,故在缺血性脑卒中的防治中应注意调节体质,以达治病求本的目的。
Adjective： To discuss distribution and clinical characteristics of Chinese Medicine（CM） constitutions in patients with cerebral ischemic stroke. Methods：Selected 183 cases of CAT patients in our hospital, and differentiate the constitution of the patients according to the classification standard of CM constitution of Professor Wang Qi. Recorded the constitution distribution of the 183 patients, compared National Institute of Health stroke scale （NIHSS） score and level of B-type natriuretic peptide（BNP）, and Barthel index（BI） score of the patients three months after disease occurs. Results. Among the 183 cases of CAT patients, patients with qi deficiency constitution, phlegm-dampness constitution and blood stasis constitution were find to be in the majority, and patients with phlegm-dampness constitution accounted for the greatest proportion. NIHSS scores of patients with moderate constitution was the lowest, and NIHSS scores of patients with qi deficiency constitution, damp-heat constitution and blood stasis constitution were all higher than those of the patients with moderate constitution （P 〈 0.01 , P 〈 0.05）. Plasma BNP levels of the patients with moderate constitution, qi deficiency constitution, yin deficiency constitution were all lower than those of patients with yang deficiency constitution（P 〈 0.01, P 〈 0.05）. Compared BI scores of the patients with different constitution three months after disease occurs, there was no significant difference （P 〉0.05）. Conclusion. Neurofunction deficit and disease severity of patients with different constitution are various on admission, so the effect and prognosis are slightly different after standardized treatment. Thus, constitution of the patients with cerebral ischemic stroke should be regulated in prevention and treatment for the disease so as to achieve the goal of chasing basic causes in treating disease.
出处
《新中医》
CAS
2017年第11期35-38,共4页
New Chinese Medicine
基金
佛山市科技计划项目(2015AB001295)
