摘要
目的分析缺血性脑卒中患者发病与节气及五运六气中主气的相关性。方法收集广西中医药大学住院病历系统中2020年1月20日至2021年1月19日缺血性脑卒中入院的患者信息,统计缺血性脑卒中患者发病时的节气、五运六气中主气的分布,探讨缺血性脑卒中患者发病与节气及五运六气中主气的相关性;利用圆分布统计法探究发病节气、发病对应的运气的高峰点。结果共收集1117例患者,男性739例(66.1%),女性378例(33.9%),60~69岁为发病人数最多的年龄段,共计349例(31.2%);在节气分布中,谷雨、大暑、处暑发病例数最高,均为58例,雨水、大雪最少,均为35例,缺血性脑卒中的发病节气无绝对高峰期。在主气分布中,主气为太阴湿土的分布例数最多,为209例(18.7%),其次为少阳相火,分布例数为198例(17.7%),厥阴风木最少,为166例(14.9%),经圆分布统计法分析,差异具有统计学意义(P<0.05)。结论缺血性脑卒中发病可能受发病时节气及六气因素的影响。
Objective This study aims to analyze the correlation between the onset of ischemic stroke and the dominant qi in solar terms,as well as the theory of five circuits and six Qi.Methods Data were collected from patients with ischemic stroke admitted between January 20,2020,and January 19,2021,in Guangxi University of Chinese Medicine.The distribution of Solar Terms and dominant Qi according to the Five Circuits and Six Qi theory was recorded at the time of stroke onset,to explore their potential correlation.Circular distribution statistics were used to determine the peak solar terms and corresponding qi at the time of stroke onset.Results A total of 1117 patients were included,with 739 males(66.1%)and 378 females(33.9%).The age group with the highest incidence was 60-69 years old,with a total of 349 cases(31.2%).The distribution pattern of Solar Terms and dominant Qi was as follows:Among Solar Terms,Grain Rain,Major Heat,and End of Heat had the highest number of cases,with 58 each,while Rain Water and Major Snow had the lowest,with 35 cases each.Overall,there was no absolute peak in ischemic stroke incidence across solar terms.Regarding dominant Qi,Taiyin damp earth was associated with the highest number of cases(209 cases,18.7%),followed by Shaoyang ministerial fire(198 cases,17.7%)and Jueyin wind wood,which had the lowest number of cases(166 cases,14.9%).Circular distribution statistical analysis showed P<0.05.Conclusion The majority of ischemic stroke patients in this study were male,with the highest incidence occurring in those aged 60-75.No absolute peak in solar terms was observed in terms of stroke incidence.However,stroke onset may be influenced by solar terms and factors related to the Six Qi.This study,based on the theory of Five Circuits and Six Qi,analyzes the distribution patterns of solar terms,providing potential reference points for stroke prevention strategies.
作者
古联
覃瑞
苏莉
黄小兰
宋潇宵
罗伟生
GU Lian;QIN Rui;SU Li;HUANG Xiaolan;SONG Xiaoxiao;LUO Weisheng(Ruikang Hospital Affiliated to Guangxi University of Chinese Medicine,Nanning 530012;Guangxi University of Chinese Medicine;School of Public Health,Guangxi Medical University)
出处
《现代中医临床》
2024年第6期17-20,共4页
Modern Chinese Clinical Medicine
基金
国家自然科学基金项目(No.82160849)。
关键词
缺血性脑卒中
节气
五运六气
圆分布统计法
ischemic stroke
Solar Terms
Five Circuits and Six Qi
circular distribution statistics
