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北京地区脑卒中患者中医体质分布规律调查
引用本文:张雪,胡彦群,卢加庆,张静毅,郎海涛,邹萍,贯淼,田丽芳,刘慧林,王麟鹏.北京地区脑卒中患者中医体质分布规律调查[J].国际中医中药杂志,2016(8):687-689.
作者姓名:张雪  胡彦群  卢加庆  张静毅  郎海涛  邹萍  贯淼  田丽芳  刘慧林  王麟鹏
作者单位:1. 100031,北京市第二医院中医科;2. 100730,北京医院国家老年医学中心;3. 272037,山东省济宁市中医院针灸科;4. 100010首都医科大学北京中医医院针灸科
基金项目:北京市西城区优秀人才项目(20120049);北京中医药薪火传承“3+3”工程项目(2009-JC-01)
摘    要:目的:通过调查北京市第二医院、北京医院、首都医科大学北京中医医院脑卒中患者的中医体质,研究脑卒中患者的体质分布规律,探讨脑卒中的发生与中医体质的关系。方法采用中医体质调查量表,对489名脑卒中患者进行中医体质测评,分析中医体质分布规律。结果在489例被调查者中,气虚质140例(28.63%)、阴虚质95例(19.43%)、血瘀质89例(18.20%)、痰热质73例(14.93%)为常见中医体质,而气郁质22例(4.50%)、阳虚质20例(4.09%)为少见体质。中年脑卒中患者的中医体质前3位是气虚质33例(27.27%)、痰热质23例(19.01%)、血瘀质22例(18.18%);老年脑卒中患者的中医体质前3位是气虚质107例(29.08%)、阴虚质76例(20.65%)、血瘀质67例(18.21%)。结论脑卒中的发生与偏颇体质关系密切。对于不同年龄段的患者防治的重点体质不同,可针对年龄对以上重点体质进行预防调理。

关 键 词:脑卒中  中医体质  分布

A survey on the distribution of TCM constitution among the patients with stroke in Beijing
Abstract:Objective To find out the distribution of TCM constitution on the patients with stroke in Beijing. Method The TCM Constitution Questionnaire was used to evaluate 489 patients with stroke in three hospitals in Beijing. Results The qi-deficiency constitution (140 patients, 28.63%), yin-deficiency constitution (95 patients, 19.43%), blood-stasis constitution(89 patients, 18.20%) and phlegm-heat constitution (73 patients, 14.93%) were the most common constitution, while qi-depression constitution (22 patients, 4.50%) and yang-deficiency constitution (20 patients, 4.09%) were the less common. The top three constitution in middle aged wereqi-deficiency (33 patients, 27.27%), phlegm-heat (23 patients, 19.01%) and blood stasis (22 patients, 18.18%). The top three constitution in the aged groupwere qi-deficiency (107 patients, 29.08%), yin-deficiency (76 patients, 20.65%) and blood-stasis (67 patients, 18.21%). Conclusions Stroke is closely related with imbalance of TCM constitution. The prevention and treatment of stroke patients with different ages should vary according to the constitutions.
Keywords:Stroke  Constitution of Traditional Chinese Medicine  Distribution
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