脑卒中后疲劳中医证候分布特点研究

目的研究脑卒中后疲劳的基本证候及证候类型分布特点,并探讨疲劳严重度量表（FSS）评分与中医证候的关系。方法根据中医临床证候信息采集表收集信息,对我院符合纳入标准的126例缺血性脑卒中患者行FSS评分以分析中医证候分型。结果脑卒中后疲劳基本证候以气虚证、血瘀证占绝大多数,均超过总数73%;中医证候类型以气虚血瘀、气虚痰瘀、气阴两虚挟瘀三证最常见,且患者FSS评分明显高于风痰火亢、风痰瘀血、阴虚风动三证的FSS评分（P〈0.05）。结论脑卒中后疲劳中医证候类型以本虚标实证多见,以气虚血瘀、气虚痰瘀、气阴两虚挟瘀三证最常见。

Study on characteristics of TCM syndrome distribution of post-stroke fatigue

Objective To investigate TCM syndrome of post-stroke fatigue and its distribution characteristics and to explore relationship between Fatigue Severity Scale（FSS） score and TCM syndrome.Methods Information of 126 patients met the inclusion criteria of ischemic stroke were collected according to Chinese medicine clinical syndrome information collection form.Then FSS score and TCM syndrome type were determined for each patient.Results The basic syndrome of post-stroke fatigue was qi deficiency and blood stasis,accounting for 73% of the all syndrome types; the most common TCM syndromes were qi deficiency and blood stasis,qi deficiency with blood stasis and phlegm,qi and yin deficiency with blood stasis and the FSS scores of these three types were significantly higher than those of wind phlegm with fire hyperactivity,wind phlegm with blood stasis,yin deficiency with wind stirring types（P 0.05）. Conclusion The most common TCM syndromes of post-stroke fatigue are deficient root and excessive superficial,with qi deficiency with blood stasis,qi deficiency with blood stasis and phlegm,qi and yin deficiency with blood stasis as the most common types.