中国中医药信息杂志
中國中醫藥信息雜誌
중국중의약신식잡지
CHINESE JOURNAL OF INFORMATION ON TRADITIONAL CHINESE MEDICINE
2014年
5期
15-17,20
,共4页
糖尿病脑梗死%证候%证候要素%靶位
糖尿病腦梗死%證候%證候要素%靶位
당뇨병뇌경사%증후%증후요소%파위
diabetic cerebral infarction%syndromes%syndrome elements%target site
目的：探讨糖尿病脑梗死证候、证候要素及靶位分布规律。方法检索中国期刊全文数据库(CNKI)2003年1月-2013年10月的全部文献,从符合研究标准的22篇2550例文献病例中提取证候,并进行整理规范,分析糖尿病脑梗死的证候、证候要素及靶位。结果2550例糖尿病脑梗死患者共有证候15种,其中痰瘀阻络659例(25.84%)、痰热腑实445例(17.45%)、风痰瘀阻366例(14.35%)、气虚血瘀341例(13.37%)；共涉及证候要素10个,其中痰证1588例(62.27%)、血瘀证1026例(40.24%)、气虚证649例(25.45%)、阴虚证539例(21.14%)；涉及靶位7个,主要病位为肝(2502例,98.12%)、脾(2194例,86.04%)、肾(2096例,82.20%)、脑(1026例,40.24%)。结论痰浊、血瘀、气虚、阴虚是糖尿病脑梗死主要的证候要素。痰瘀阻络、痰热腑实、风痰瘀阻、气虚血瘀是糖尿病脑梗死常见的证型。糖尿病脑梗死的病位主要在肝,涉及脾、肾、脑,其核心病机是气阴亏虚、痰瘀阻络。
目的：探討糖尿病腦梗死證候、證候要素及靶位分佈規律。方法檢索中國期刊全文數據庫(CNKI)2003年1月-2013年10月的全部文獻,從符閤研究標準的22篇2550例文獻病例中提取證候,併進行整理規範,分析糖尿病腦梗死的證候、證候要素及靶位。結果2550例糖尿病腦梗死患者共有證候15種,其中痰瘀阻絡659例(25.84%)、痰熱腑實445例(17.45%)、風痰瘀阻366例(14.35%)、氣虛血瘀341例(13.37%)；共涉及證候要素10箇,其中痰證1588例(62.27%)、血瘀證1026例(40.24%)、氣虛證649例(25.45%)、陰虛證539例(21.14%)；涉及靶位7箇,主要病位為肝(2502例,98.12%)、脾(2194例,86.04%)、腎(2096例,82.20%)、腦(1026例,40.24%)。結論痰濁、血瘀、氣虛、陰虛是糖尿病腦梗死主要的證候要素。痰瘀阻絡、痰熱腑實、風痰瘀阻、氣虛血瘀是糖尿病腦梗死常見的證型。糖尿病腦梗死的病位主要在肝,涉及脾、腎、腦,其覈心病機是氣陰虧虛、痰瘀阻絡。
목적：탐토당뇨병뇌경사증후、증후요소급파위분포규률。방법검색중국기간전문수거고(CNKI)2003년1월-2013년10월적전부문헌,종부합연구표준적22편2550예문헌병례중제취증후,병진행정리규범,분석당뇨병뇌경사적증후、증후요소급파위。결과2550례당뇨병뇌경사환자공유증후15충,기중담어조락659례(25.84%)、담열부실445례(17.45%)、풍담어조366례(14.35%)、기허혈어341례(13.37%)；공섭급증후요소10개,기중담증1588례(62.27%)、혈어증1026례(40.24%)、기허증649례(25.45%)、음허증539례(21.14%)；섭급파위7개,주요병위위간(2502례,98.12%)、비(2194례,86.04%)、신(2096례,82.20%)、뇌(1026례,40.24%)。결론담탁、혈어、기허、음허시당뇨병뇌경사주요적증후요소。담어조락、담열부실、풍담어조、기허혈어시당뇨병뇌경사상견적증형。당뇨병뇌경사적병위주요재간,섭급비、신、뇌,기핵심병궤시기음우허、담어조락。
Objective To investigate the syndromes, syndrome elements and target sites of diabetic cerebral infarction. Method Firstly, literatures were searched from January 2003 to October 2013 in China Academic Journals Database (CNKI) retrieval system, then a database of 22 eligible articles was established. Syndromes of diabetic cerebral infarction were extracted from the database, then syndromes, syndrome elements and target sites were analyzed. Results Totally 2550 cases of diabetic cerebral infarction were concerned with 15 syndromes, including 659 cases of stagnation of phlegm and blood (25.84%), 445 cases of stagnation of phlegm-heat (17.45%), 366 cases of wind-phlegm syndrome (14.35%) and 341 cases of qi deficiency and blood stasis (13.37%). There were 10 syndrome elements in the 2550 cases, of which 1588 cases with phlegm (62.27%), 1026 cases with blood stasis (40.24%), 649 cases with qi deficiency (25.45%) and 539 cases with yin deficiency (21.14%). And seven target sites were encompassed, the highlights of which included 2502 cases of liver (98.12%), 2194 cases of spleen (86.04%), 2096 cases of kidney (82.20%) and 1026 cases of brain (40.24%). Conclusion The important syndrome elements of diabetic cerebral infarction were phlegm, blood stasis, qi deficiency and yin deficiency. The four major syndromes comprising stagnation of phlegm and blood, stagnation of phlegm-heat, wind-phlegm syndrome and qi deficiency and blood stasis were concluded, mainly affected the liver, spleen, kidney and brain. And there were two fundamental pathogenesis in diabetic cerebral infarction:qi and yin deficiency, phlegm and blood stasis.
