64例急性缺血性中风患者血管内介入治疗后证候要素分布特点

目的探讨血管内介入治疗对急性缺血性中风中医证候要素的影响。方法收集行血管内介入治疗且符合入选标准的64例患者资料。治疗前及治疗后2 d填写《缺血性中风证候要素诊断量表》得出证候要素,运用统计分析,得出该类患者的中医证候分布特点。结果本研究急性缺血性中风血管内介入治疗前出现频次最多的证候要素为内风,为64频次;血瘀次之,为27频次;而阴虚出现频次最少,为8频次。治疗后出现频次最多的证候要素为内风,为47频次;血瘀次之,为35频次;而阴虚出现频次最少,为8频次。其中内风证、血瘀证治疗前后出现频数差异具有统计学意义(P<0.05)。结论介入手术可能增加血瘀证、火热证,手术后的治疗应注重活血化瘀,同时适当清热、息风、化痰。

Distribution Characteristics of Syndrome Elements in 64 Patients with Acute Ischemic Stroke after Intravascular Interventional Therapy

Objective To observe and analyze the distribution characteristics of TCM syndromes after interventional therapy for acute ischemic stroke.Methods Data of 64 patients who underwent interventional therapy were collected.Before treatment and 2 days after treatment,the diagnosis scale of syndrome elements of ischemic stroke twice to get the syndrome elements.By statistical analysis,the distribution characteristics of TCM Syndromes of these patients were obtained and analyzed in combination with its relevant elements.Results In this study,endogenous wind(64 times)was the syndrome element with the highest frequency before interventional therapy in acute ischemic stroke.Blood stasis was followed by 27 times,and the yin deficiency was the least,8 times.After treatment,the syndrome element with the highest frequency was(47 times).Blood stasis followed,35 times,and the yin deficiency was the least,8 times.Among them,the frequency difference of endogenous wind syndrome and blood stasis syndrome before and after treatment was statistically significant.Conclusion Interventional therapy may increase blood stasis,endogenous fire,the treatment after the therapy should pay attention to promote blood circulation and remove blood stasis,and at the same time properly clear heat,calming endogenous wind and redicing phlegm.