北京中医药大学学报
北京中醫藥大學學報
북경중의약대학학보
Journal of Beijing University of Traditional Chinese Medicine
2015年
8期
569-572
,共4页
李婷婷%盛蕾%过伟峰%李国春%李建香%张兰坤%杨小燕%徐丹
李婷婷%盛蕾%過偉峰%李國春%李建香%張蘭坤%楊小燕%徐丹
리정정%성뢰%과위봉%리국춘%리건향%장란곤%양소연%서단
出血性中风急性期%瘀热病机%致病作用
齣血性中風急性期%瘀熱病機%緻病作用
출혈성중풍급성기%어열병궤%치병작용
cerebral hemorrhage in acute stage%static-heat%pathogenesis
目的:临床调查出血性中风急性期患者病机证素的分布、演变情况,揭示“瘀热”病机在发病过程中的重要作用。方法按照“出血性中风急性期病机证素诊断量表”,采用多时点临床流行病学调查方法对1028例出血性中风急性期患者进行现场调查,统计分析5个时间点(入院时,病程第3、7、14、21天)8个病机证素(瘀热、风阳、火热、痰热、痰湿、瘀血、气虚、阴虚)的分布、演变情况。结果出血性中风急性期证候分布呈现一定的规律性,不同时间点瘀热比例均高于其他病机证素,风阳、火热居前位。将各病机证素例数按时间点进行纵向比较,差异有统计学意义(P <0.01)。结论瘀热为病理本质,在发病中起主导作用,风、火、痰源于瘀热搏结。
目的:臨床調查齣血性中風急性期患者病機證素的分佈、縯變情況,揭示“瘀熱”病機在髮病過程中的重要作用。方法按照“齣血性中風急性期病機證素診斷量錶”,採用多時點臨床流行病學調查方法對1028例齣血性中風急性期患者進行現場調查,統計分析5箇時間點(入院時,病程第3、7、14、21天)8箇病機證素(瘀熱、風暘、火熱、痰熱、痰濕、瘀血、氣虛、陰虛)的分佈、縯變情況。結果齣血性中風急性期證候分佈呈現一定的規律性,不同時間點瘀熱比例均高于其他病機證素,風暘、火熱居前位。將各病機證素例數按時間點進行縱嚮比較,差異有統計學意義(P <0.01)。結論瘀熱為病理本質,在髮病中起主導作用,風、火、痰源于瘀熱搏結。
목적:림상조사출혈성중풍급성기환자병궤증소적분포、연변정황,게시“어열”병궤재발병과정중적중요작용。방법안조“출혈성중풍급성기병궤증소진단량표”,채용다시점림상류행병학조사방법대1028례출혈성중풍급성기환자진행현장조사,통계분석5개시간점(입원시,병정제3、7、14、21천)8개병궤증소(어열、풍양、화열、담열、담습、어혈、기허、음허)적분포、연변정황。결과출혈성중풍급성기증후분포정현일정적규률성,불동시간점어열비례균고우기타병궤증소,풍양、화열거전위。장각병궤증소례수안시간점진행종향비교,차이유통계학의의(P <0.01)。결론어열위병리본질,재발병중기주도작용,풍、화、담원우어열박결。
Objective To investigate the distribution and dynamic changs of pattern elements,especially the role of static heat pattern in the occurrence of cerebral hemorrhage in acute stage.Methods Based on Pattern Element Scale for Hemorrhagic Stroke at Acute Stage,we collected clinical manifestation data of 1 028 patients with acute hemorrhagic stroke.Distribution and dynamic changs of eight pattern ele-ments (Static heat,Wind,Fire,Phlegm heat,Phlegm dampness,Blood stasis,Qi deficiency and Yin deficiency)at five different timing points after admission (upon adaission Day 3,7,14,and 21 ). Results The distribution of pattern elements in hemorrhagic stroke patients at the acute stage presented with a specific rule.Proportion of Static-heat pattern was the highest at each time point followed by Wind and Fire patterns.There was statistical longitudinal difference in the number of pattern elements (P <0.05)at different time points.Conclusion Static heat pattern seems to be the fundamental mechanism and play a leading role in the occurrence of the disease while wind,fire,and phlegm seems to derive from Static heat.