老年颈动脉粥样硬化超声狭窄程度分型与中医证型的关系 |
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引用本文: | 吴文竹,张晓艳,周志上. 老年颈动脉粥样硬化超声狭窄程度分型与中医证型的关系[J]. 武汉大学学报(医学版), 2012, 33(6): 921-922 |
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作者姓名: | 吴文竹 张晓艳 周志上 |
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作者单位: | 1. 武汉市东湖医院功能科 湖北武汉430074 2. 武汉市东湖医院康复科 湖北武汉430074 |
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基金项目: | 武汉市卫生局临床医学科研项目(项目编号:WX09C26) |
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摘 要: | 目的:探索老年颈动脉粥样硬化超声狭窄程度与中医辨证分型的关系.方法:将120例颈动脉粥样硬化(CAS)患者按中医证型分为气血两虚、肝肾亏虚、痰浊上蒙、瘀血阻窍、肝阳上亢5型,分析其中医证型与狭窄程度的关系.结果:老年CAS患者中医证型分布总体呈现以痰浊上蒙型为主,超声狭窄程度以Ⅲ级最多.结论:CAS患者中医辨证分型以痰浊上蒙为主,而超声显示为Ⅲ级狭窄,提示痰浊上蒙可能是导致CAS加重的病因.
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关 键 词: | 颈动脉粥样硬化 颈动脉狭窄 超声检查 多普勒 中医证型 |
RelationshipBetween Ultrasound Stenosis Degree and the Syndrome Type of Traditional Chinese Medicine in Senile Carotid Atherosclerosis |
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Abstract: | Objective: To explore the relationship between the degree of carotid atherosclerosis stenosis(CAS) by ultrasonography and the types of traditional Chinese Medicine syndrome.Methods: A total of 120 patients of CAS were divided into five categories as both blood and qi,deficiency in both liver and kidney,stagnation of phlegm,blood-stasis stagnated in orifice,and ascendant hyperactivity of liver-yang according to TCM syndrome differentiation.The relationship between TCM syndrome type and degree of CAS was analyzed.Results: The distribution of TCM syndrome type showed that stagnation of phlegm constitutes the majority of the five types in CAS patients.And most CAS cases were in Ⅲ degree under ultrasound.Conclusion: Most CAS patients were in the type of stagnation of phlegm by TCM classification and Ⅲ degree of stenosis by ultrasound,and it suggests in TCM theory that stagnation of phlegm might result in the deterioration of CAS. |
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Keywords: | CarotidAtherosclerosis:Carotid Artery Stenosis Ultrasonography:Doppler,Syndrome Type of Traditional Chinese Medicine |
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