国际中医中药杂志
國際中醫中藥雜誌
국제중의중약잡지
INTERNATIONAL JOURNAL OF TRIDITIONAL CHINESE MEDICINE
2012年
10期
870-872
,共3页
颈动脉粥样硬化%中医证候%分布规律%回顾性研究
頸動脈粥樣硬化%中醫證候%分佈規律%迴顧性研究
경동맥죽양경화%중의증후%분포규률%회고성연구
Carotid artery atherosclerosis%Manifestations%Distribution rule%Retrospective studies
目的 探讨颈动脉粥样硬化(carotid Atherosclerosis,CAS)的临床证候分布规律,为该病的证候规范化及临床诊疗提供数据参考.方法 以中国中医科学院广安门医院老年病科2008年1月至2010年6月CAS的临床病历资料为研究对象,采用流行病学的方法进行研究.共纳入患者298例,分别统计主要证候类型的出现频率、伴随症状分布特点.结果 颈动脉粥样硬化的临床主要证候为痰浊阻遏证、兼气滞血郁、肝肾阴虚三型共占39.3％;症状分布50.0％以上的分别为头晕(64.1％)、胸闷(60.1％)、口干(63.8％)、健忘(58.7％)、失眠(50.0％).结论 CAS临床多以气滞血瘀、痰浊阻遏、肝肾阴虚三证合并出现;眩晕为其主要临床症状.
目的 探討頸動脈粥樣硬化(carotid Atherosclerosis,CAS)的臨床證候分佈規律,為該病的證候規範化及臨床診療提供數據參攷.方法 以中國中醫科學院廣安門醫院老年病科2008年1月至2010年6月CAS的臨床病歷資料為研究對象,採用流行病學的方法進行研究.共納入患者298例,分彆統計主要證候類型的齣現頻率、伴隨癥狀分佈特點.結果 頸動脈粥樣硬化的臨床主要證候為痰濁阻遏證、兼氣滯血鬱、肝腎陰虛三型共佔39.3％;癥狀分佈50.0％以上的分彆為頭暈(64.1％)、胸悶(60.1％)、口榦(63.8％)、健忘(58.7％)、失眠(50.0％).結論 CAS臨床多以氣滯血瘀、痰濁阻遏、肝腎陰虛三證閤併齣現;眩暈為其主要臨床癥狀.
목적 탐토경동맥죽양경화(carotid Atherosclerosis,CAS)적림상증후분포규률,위해병적증후규범화급림상진료제공수거삼고.방법 이중국중의과학원엄안문의원노년병과2008년1월지2010년6월CAS적림상병력자료위연구대상,채용류행병학적방법진행연구.공납입환자298례,분별통계주요증후류형적출현빈솔、반수증상분포특점.결과 경동맥죽양경화적림상주요증후위담탁조알증、겸기체혈욱、간신음허삼형공점39.3％;증상분포50.0％이상적분별위두훈(64.1％)、흉민(60.1％)、구간(63.8％)、건망(58.7％)、실면(50.0％).결론 CAS림상다이기체혈어、담탁조알、간신음허삼증합병출현;현훈위기주요림상증상.
Objective To explore clinical distribution rule of manifestations in patients with CAS,to provide objective basis of standardization,clinical diagnosis and treatment.Methods Epidemiological methods were used to investigate on guanan'men hospital patients with CAS.Altogether 298 records of CAS patients were enrolled in this study,the frequency of main syndromes and the distribution characteristics of accompanying symptoms were analyzed.Results The main syndromes of CAS were sputum stasis syndrome,qi stagnation and blood stasis syndrome,and deficiency syndrome of both liver and kidney yin,all together accounted for 39.3％.The major symptoms were vertigo or dizziness (64.1％),chest distress (60.1％),dry mouth (63.8％),amnesia (58.7％),and insomnia (50.0％) separately.Conclusion Sputum stasis syndrome,Qi stagnation and blood stasis syndrome and deficiency syndrome of both liver and kidney yin group were as a combine form in patients with CAS,and dizziness or vertigo was its main clinical manifestation.
