世界中西医结合杂志
世界中西醫結閤雜誌
세계중서의결합잡지
World Journal of Integrated Traditional and Western Medicine
2015年
10期
1381-1383,1386
,共4页
糖尿病缺血性脑卒中%恢复期%中医证型
糖尿病缺血性腦卒中%恢複期%中醫證型
당뇨병결혈성뇌졸중%회복기%중의증형
Diabetic Ischemic Stroke%Recovery Stage%TCM Pattern
目的：探讨糖尿病缺血性脑卒中恢复期的中医临床证型的分布规律及发病机制，为临床中医辨证论治提供科学依据。方法采用流行病学调查方法，观察187例糖尿病缺血性脑卒中恢复期患者，根据中华中医药学会糖尿病分会制定的《糖尿病合并脑血管病中医诊疗标准》及《中药新药临床研究指导原则》等资料制定辨证分型的具体标准及临床证候调查表，通过望、闻、问、切采集患者入院1周内的临床症状、舌象、脉象信息，并进行辨证分型及相关统计分析。结果患者主要临床症状及体征出现频率排序前10位依次为肢体麻木、小便频多、口干口渴、倦怠乏力、自汗盗汗、失眠、头晕目眩、浮肿、舌质较暗、脉细涩；各中医证型以气虚血瘀、阴虚动风、风痰阻络三种证型最为多见。结论糖尿病缺血性脑卒中恢复期本虚标实，基本病机以气阴两虚为主，久而瘀阻脉络，风、痰、瘀等因素相互影响疾病转归愈后。
目的：探討糖尿病缺血性腦卒中恢複期的中醫臨床證型的分佈規律及髮病機製，為臨床中醫辨證論治提供科學依據。方法採用流行病學調查方法，觀察187例糖尿病缺血性腦卒中恢複期患者，根據中華中醫藥學會糖尿病分會製定的《糖尿病閤併腦血管病中醫診療標準》及《中藥新藥臨床研究指導原則》等資料製定辨證分型的具體標準及臨床證候調查錶，通過望、聞、問、切採集患者入院1週內的臨床癥狀、舌象、脈象信息，併進行辨證分型及相關統計分析。結果患者主要臨床癥狀及體徵齣現頻率排序前10位依次為肢體痳木、小便頻多、口榦口渴、倦怠乏力、自汗盜汗、失眠、頭暈目眩、浮腫、舌質較暗、脈細澀；各中醫證型以氣虛血瘀、陰虛動風、風痰阻絡三種證型最為多見。結論糖尿病缺血性腦卒中恢複期本虛標實，基本病機以氣陰兩虛為主，久而瘀阻脈絡，風、痰、瘀等因素相互影響疾病轉歸愈後。
목적：탐토당뇨병결혈성뇌졸중회복기적중의림상증형적분포규률급발병궤제，위림상중의변증론치제공과학의거。방법채용류행병학조사방법，관찰187례당뇨병결혈성뇌졸중회복기환자，근거중화중의약학회당뇨병분회제정적《당뇨병합병뇌혈관병중의진료표준》급《중약신약림상연구지도원칙》등자료제정변증분형적구체표준급림상증후조사표，통과망、문、문、절채집환자입원1주내적림상증상、설상、맥상신식，병진행변증분형급상관통계분석。결과환자주요림상증상급체정출현빈솔배서전10위의차위지체마목、소편빈다、구간구갈、권태핍력、자한도한、실면、두훈목현、부종、설질교암、맥세삽；각중의증형이기허혈어、음허동풍、풍담조락삼충증형최위다견。결론당뇨병결혈성뇌졸중회복기본허표실，기본병궤이기음량허위주，구이어조맥락，풍、담、어등인소상호영향질병전귀유후。
Objective To explore the distribution rule of clinical TCM patterns and occurrence mechanism so as to provide the scientific evidence for syndrome differentiation and treatment of TCM in clin-ic. Methods The epidemiological investigation method was adopted to observe 187 patients of diabetic is-chemic stroke at recovery stage. In reference to Standard of diagnosis and treatment with TCM in diabetes complicated with cerebrovascular disease and Guides for the clinical research of new Chinese medicine imple-mented by Diabetes Branch of Chinese Medical Association,the specific criteria and clinical syndrome ques-tionnaire were drafted. The clinical symptoms,tongue and pulse conditions were collected by the four diagnos-tic methods in the inpatients admitted in 1 week. The statistical analysis was conducted on TCM patterns and relevant data. Results The top 10 clinical symptoms and physical signs in terms of frequency were limb numbness,frequent urine,thirst and dry mouth,lassitude,spontaneous sweating and night sweating,dizziness and vertigo,puffy face,dark tongue,thready and choppy pulse. The most common patterns were qi deficiency and blood stagnation,wind stirring due to yin deficiency,and wind phlegm blocking collateral. Conclusion Diabetic ischemic stroke at recovery stage is deficiency in the root and excess in the symptoms. The basic pathogenesis is qi and yin deficiency. Stasis and blockage happens in chronic case. The interaction of wind, phlegm and stasis affects the outcome and prognosis of disease.
