颈动脉粥样硬化证候分布规律的回顾性研究

目的 探讨颈动脉粥样硬化(carotid Atherosclerosis,CAS)的临床证候分布规律,为该病的证候规范化及临床诊疗提供数据参考.方法 以中国中医科学院广安门医院老年病科2008年1月至2010年6月CAS的临床病历资料为研究对象,采用流行病学的方法进行研究.共纳入患者298例,分别统计主要证候类型的出现频率、伴随症状分布特点.结果 颈动脉粥样硬化的临床主要证候为痰浊阻遏证、兼气滞血郁、肝肾阴虚三型共占39.3％;症状分布50.0％以上的分别为头晕(64.1％)、胸闷(60.1％)、口干(63.8％)、健忘(58.7％)、失眠(50.0％).结论 CAS临床多以气滞血瘀、痰浊阻遏、肝肾阴虚三证合并出现;眩晕为其主要临床症状.

Retrospective study on distribution rule of manifestations in patients with carotid artery atherosclerosis

Objective To explore clinical distribution rule of manifestations in patients with CAS, to provide objective basis of standardization, clinical diagnosis and treatment. Methods Epidemiological methods were used to investigate on guanan＇men hospital patients with CAS. Altogether 298 records of CAS patients were enrolled in this study, the frequency of main syndromes and the distribution characteristics of accompanying symptoms were analyzed. Results The main syndromes of CAS were sputum stasis syndrome, qi stagnation and blood stasis syndrome, and deficiency syndrome of both liver and kidney yin, all together accounted for 39.3%. The major symptoms were vertigo or dizziness （64.1%）, chest distress （60.1%）, dry mouth （63.8%）, amnesia （58.7%）, and insomnia （50.0%） separately. Conclusion Sputum stasis syndrome, Qi stagnation and blood stasis syndrome and deficiency syndrome of both liver and kidney yin group were as a combine form in patients with CAS, and dizziness or vertigo was its main clinical manifestation.