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蛛网膜下腔出血分期分型与中医证候相关性研究
引用本文:陆连第,高长玉,杨东宁,张艳景,常庚. 蛛网膜下腔出血分期分型与中医证候相关性研究[J]. 中西医结合心脑血管病杂志, 2010, 8(4): 421-423
作者姓名:陆连第  高长玉  杨东宁  张艳景  常庚
作者单位:1. 天津市海河医院,300350
2. 河北医科大学第二医院,050000
3. 河北医科大学第二医院
摘    要:
目的 探讨蛛网膜下腔出血(SAH)分期分型与中医证候的相关性.方法 对确诊的蛛网膜下腔出血的患者依据黄如训SAH分期标准进行划分,1个月内为急性期,并结合蛛网膜下腔出血病理改变和临床表现分为1 d~3 d、4 d~7 d、8 d~14 d、>14 d四个时段,按照Hunt-Hess分级标准进行分型.依据<中风病证候诊断标准>进行辨证.结果病程中1 d~3 d以风证、血瘀证、火热证为主;4 d~7 d以痰证、火热证、瘀证为主;8 d~14 d以痰证、火热证、气虚证为主;>14 d以痰证、阴虚证、气虚证为主.病情轻重分型无论病情轻重风证、瘀证、火热证发生率均很高,而痰证随着病情的加重发生率增加.结论 本病分期和病情分型与中医证候有一定的相关性,临床分期分型可作为中医辨证时的参考指标.

关 键 词:蛛网膜下腔出血  分期分型  中医辨证  辨证规范化

Study on Correlation of Clinical Staging and Typing and TCM Syndrome Differentiation in Patients with Subarachnoid Hemorrhage
Lu Li,i,Gao Changyu,Yang Dongning,et alThe Second Hospital,Hebei Medical University. Study on Correlation of Clinical Staging and Typing and TCM Syndrome Differentiation in Patients with Subarachnoid Hemorrhage[J]. Chinese Journal of Integrative Medicine on Cardio-/Cerebrovascular Disease, 2010, 8(4): 421-423
Authors:Lu Li  i  Gao Changyu  Yang Dongning  et alThe Second Hospital  Hebei Medical University
Affiliation:Lu Li,i,Gao Changyu,Yang Dongning,et alThe Second Hospital,Hebei Medical University(Shijiazhuang 050000)
Abstract:
Objective To investigate the correlation of clinical staging and typing and syndrome differentiation of traditional Chinese medicine(TCM) in patients with subarachnoid hemorrhage(SAH).Methods Based on the pathology and clinical symptom of SAH,seventy-five patients with SAH in acute stage were divided into four groups:1 d to 3 d group,4 d to 7 d group,8 d to 14 d group,and over 14 days group.According to the grading criteria of Hunt-Hess,patients were classified into six types.TCM syndrome differentiation we...
Keywords:subarachnoid hemorrhage  clinical staging and typing  TCM syndrome differentiation  standardization of syndrome differentiation  
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