脑梗死脑部CT表现与中经络中脏腑关系初探

目的 研究脑梗死中脏腑或中经络与脑部CT表现的关系。方法 根据脑梗死的临床表现将373例病人分为中经络和中脏腑，根据CT表现分为腔隙性脑梗死和皮层动脉分布区脑梗死；分析梗塞部与中医证型之间的关系。结果 腔隙性脑梗死293例，中经络291例，中脏腑2例。皮层动脉分布区脑梗死80例，56例为中经络，24例为中脏腑。中经络与中脏腑间的年龄差异，P＜0．01。腔隙性脑梗死、皮层动脉分布区脑梗死及脑梗死、脑出血之间出现中脏腑的差异，P均＜0．01。结论 中脏腑较中经络发病年龄大；腔隙性脑梗死以中经络为主；中脏腑以皮层动脉分布区脑梗死为主。脑出血出现中脏腑的机率大于脑梗死。

Result of Brain CT Scan with Cerebral Infarction and Apoplexy Involving Channels and Organs

OBJECTIVE To investigate into the relationship between apoplexy involving the channels or organs and the brain CT scan results in patients with cerebral infarction.METHOD 373 patients were divided into syndrome of apoplexy involving the channels and that of apoplexy involving the organs according to the clinical manifestations and into lacunar infarction and infarction at dermal epithelium with artery distribution according to the result of CT scan, in order to analyse the relationship between the location of cerebral infarction and TCM syndrome differentiation.RESULT Among the 293 patients with lacunar infarction, 291 suffered from the syndrome of apoplexy involving the channels and 2 apoplexy involving the organs, and these figures among the 80 patients with infarction at dermal epithelium with artery distribution were 56 and 24 respectively, with marked age difference between the two syndromes ( P <0.01). There was also marked difference in the syndrome of apoplexy involving the organs between lacunar infarction, infarction at dermal epithelium with artery distribution and cerebral hemorrhage ( P <0.01). CONCLUSION The average age of patients with the syndrome of apoplexy involving the organs is greater than that of patients with the syndrome of apoplexy involving the channels; the patients with lacunar infarction suffered mainly from the syndrome of apoplexy involving the channels; the patients with the syndrome of apoplexy involving the organs suffered mainly from infarction at dermal epithelium with artery distribution; the syndrome of apoplexy involving the organs occur more frequently in patients with cerebral hemorrhage than those with cerebral infarction.