高血压性脑卒中758例患者的脉压差与中医证型的分布规律探讨

目的：通过对高血压性脑卒中患者不同的脉压差与中医讧型的分布情况进行分析研究，探讨脉压差与中医证型之间的规律。方法：按标准对758例高血压病合并脑卒中患者进行中医证候分型，并按脉压〈60mmHg、60—75mmHg、〉75mmHg将研究对象分为3组，分析比较各组中医证候分型的分布规律。结果：高血压性脑卒中的临床证型非常复杂，以两证组合三证及以上组合占多数。临床上不同的脉压，出现的中医临床证候数量也不相同，脉压越大出现的证型越多。不同的证型在脉压的大小方面，存在显著性差异，脉压越大，其高危率、极高危率越大。结论：阴虚风动证和风痰瘀阻证是高血压性脑卒中的主娶证型．

On the Correlation between TCM Pattern and Pulse Pressure of 758 Patients with Hypertension-related Cerebral Apoplexy

Objective： To observe the correlation between TCM Pattern and the pulse pressure （PP） of the patients with hypertensionrelated cerebral apoplexy. Methods： The patients were differentiated in terms of TCM patterns, and divided to 3 PP groups （ 〈 60mm Hg, 60 - 75mm Hg, 〉 75mm Hg）. Results： We found hypertension -related cerebral apoplexy was of complicated TCM patterns, and the combination of two or three, or more patterns are very common. The number of TCM patterns that coexist varied according to different pulse pressure levels ： higher level of PP was usually accompanied by multiple patterns and more critical conditions. Conclusion： stirring wind due to yin deficiency and obstruction of wind-phlegm are the main pattern for hypertension-related cerebral apoplexy.