缺血中风急性期应用阴阳辨证的证候分级回归分析

目的探讨中风病急性期采用阴阳辨证方法的证候学基础。方法对1150例次缺血中风急性期病人分别按照阴阳辨证标准及中风病辨证诊断分级标准进行临床证候采集,并得出阴阳分类和证候辨证诊断的证候分级。用Logistic分析法分析中风病六类证候分级对急性期阴阳两类别之间的意义。结果风证、瘀血证是缺血中风病急性期共有的证候群,火热证、阴虚阳亢证及痰证是诊断为阳类证的重要证候因素,即对阳类证诊断有意义的重要证候指标(P<0.05);气虚证是诊断阴类证的重要证候因素,即对阴类证诊断起作用的证候指标(P<0.05)。结论阴阳辨证方法在缺血中风急性期应用有较可靠的中医证候学基础,能够为临床辨证服务。

The Regression Analysis on Syndromes Grade for Yin - yang Syndrome Differentiation of in Acute Phase of Ischemic Stroke

Objective To study the Yin-yang syndrome differentiation in acute phase of ischemic stroke.Methods The data of 1 150 patients (pts) with ischemic stroke were studied. The signs and symptoms were collected simultaneously based on the standard of Yin-yang syndrome differentiation and the diagnostic criteria of stroke syndromes scales respectively. And the outcomes of the both differentiations were yielded. By the logistic analysis, the six stroke syndrome grades were studied for the Yin syndrome and the Yang syndrome.Results The syndrome of wind and the syndrome of blood stasis were the common syndromes for the ischemic stroke in acute phase. The syndrome of hot and heat, the syndrome of yang hyperactivity caused by yin deficiency and the syndrome of phlegm were the important factors for the diagnosis of the Yang syndrome (P<0.05). The syndrome of Qi deficiency was the important factor for the diagnosis of the Yin syndrome(P<0.05). Conclusion The differentiation of Yin-yang syndromes could be the reliable basis of TCM syndrome and it was helpful for the clinic differentiation.