高血压病中医证型与脑卒中神经功能缺损程度的相关性研究

目的:探讨高血压病中医证型与脑卒中神经功能缺损程度的相关性,为更好地开展高血压病防治、预防脑卒中以及筛选重点防治人群等工作提供客观依据和理论基础。方法:按标准对100例高血压合并脑卒中患者发病前的临床症状进行中医证候分型(肝火亢盛型、阴虚阳亢型、痰湿壅盛型、阴阳两虚型),记录脑卒中发生时各证型的神经功能缺损程度的评分分值,分析不同证型组间各种指标的差异;并以100例非高血压性脑卒中患者为对照组,比较高血压性与非高血压性脑卒中的神经功能缺损程度的差异。结果:(1)高血压性脑缺血组与非高血压性脑缺血组的临床神经功能缺损程度无显著差异(P>0.05);(2)高血压性脑出血组与非高血压性脑出血组的临床神经功能缺损程度差异显著(P<0.05);(3)高血压性脑卒中组中阴阳两虚型临床神经功能缺损程度较其他型(阴虚阳亢型、痰湿壅盛型)严重,统计学上差异显著(P<0.05)。

Relevance between Different Syndromes of Essential Hypertension (EH)''''s Traditional Chinese Medicine and the Degree of Stroke''''s Clinical Neurological Deficit

Objective: To observe the relevance between different syndromes of essential Hypertension(EH)'s traditional Chinese medicine and Stroke's clinical assess.Methods:100 stroke patients with EH(EH stroke group) and 100 stroke patients without EH(stroke group)were observed.EH stroke group according to syndromes before stroke differ types were divided into the following four syndromes(Ganhuo kangsheng Syndrome,Yinxu yangkang Syndrome,Tanshi yongsheng Syndrome,Yinyang liangxu Syndrome).Used the clinical ration evaluating as the measurement norm,to mark the degree of clinical neurological deficit,then analyzed their discrepancy.Used stroke group as the compared group,then compared their difference of the degree of clinical neurological deficit.Results:(1)There were no significant difference between EH cerebral infarction group and cerebral infarction with EH group in the degree of clinical neurological deficit(P>0.05);(2)There were significant differences between cerebral hemorrhage with EH group and cerebral hemorrhage without EH group in the degree of clinical neurological deficit(P<0.05);(3) The Yinyang liangxu Syndrome of the EH stroke was more serious than the other syndromes(Yinxu yangkang Syndrome,Tanshi yongsheng Syndrome) in the degree of clinical neurological deficit(P<0.05).