CAJ | 학술논문

目的：调查庆阳市脑梗死患者危险因素的筛查及中医体质分型情况。方法：选择2011年9月至2012年9月在庆阳市人民医院神经内科就诊的766病脑梗死患者为观察组，并以同期在体检中心行健康体检且无脑血管病史和神经科症状的人群1215人为对照组，从人口学特点、危险因素及中医体质特点等方面进行分析。结果：庆阳市最常见的3个脑梗死发病危险因素是血脂异常、高血压和吸烟；中医痰湿体质型易患脑梗死，其次为气虚、气郁、血瘀等。结论：在脑梗死的二级预防中应该重视全面的危险因素筛查干预，并根据中医体质分型进行辨证干预。
목적：조사경양시뇌경사환자위험인소적사사급중의체질분형정황。방법：선택2011년9월지2012년9월재경양시인민의원신경내과취진적766병뇌경사환자위관찰조，병이동기재체검중심행건강체검차무뇌혈관병사화신경과증상적인군1215인위대조조，종인구학특점、위험인소급중의체질특점등방면진행분석。결과：경양시최상견적3개뇌경사발병위험인소시혈지이상、고혈압화흡연；중의담습체질형역환뇌경사，기차위기허、기욱、혈어등。결론：재뇌경사적이급예방중응해중시전면적위험인소사사간예，병근거중의체질분형진행변증간예。
Objective:To survey TCM constitutions and risk factors screening of the patients with cerebral in-farction from Qingyang Municipality. Method:All 766 patients admitted from September, 2011 to September, 2012 in the department of neurology were as the observation group, 1 215 patients undergoing physical examination were as the control group. The conditions were analyzed from the features of demography, risk factor and TCM constitu-tions. Result:There were three common risk factors:abnormal blood lipids, hypertension and smoking;the patients with the constitutions of phlegm-dampness were vulnerable to cerebral infarction, the next were Qi deficiency, Qi stag-nation and blood stasis. Conclusion:In the secondary prevention of cerebral infarction, we should pay attention to the interventions of general risk factor screening and syndrome differentiation according to TCM constitutions.