吉兰-巴雷综合征中医证候分布的研究

目的:探讨吉兰-巴雷综合征中医证候分布特点。方法:对临床确诊的吉兰-巴雷综合征患者62例,进行临床观察和中医辨证。结果:中医辨证:急性期气虚湿热证占41.94%,湿热证占24.19%,气虚 湿证占19.35%,恢复期气阴两虚证占62.5%,气阴两虚 湿证占29.17%。急性期西医临床分型轻、中、重、极重型,中医辨证气虚湿热证分别为5.26%、35%、60%、92.31%。结论:GBS中医证候分布急性期主要为气虚湿热证,且病情越重气虚湿热证的发生率越高;恢复期主要是气阴两虚证或气阴两虚 湿证。

Study on Zhenghou Distribution of Guillain-Barre Syndrome

Objective: to study the feature of the TCM (traditional Chinese medicine) syndrome of the patients with Guillian-Barre Syndrome (GBS). Methods: Sixty-two patients with GBS were admitted, and the clinical stages, clinical types and TCM syndrome' types were obtained according to the standard. Result:In the acute stage, the incidence of Qi deficiency with wet-heat syndrome was 41.94%, and the incidences both Wet-heat syndrome and Qi deficiency with wet syndrome were 24.19% and 19.35% respectively. In the convalescent stage, the incidences of Qi-yin double deficiency and Qi-yin double deficiency with wet syndrome were 62.5% and 29.17%. In the light, medium, severe and most severe groups, on the basis of the clinical type in the acute stage, the different percentages of Qi deficiency with wet-heat syndrome were 5.26%, 35%, 60% and 92.31%. Conclusion: The Qi deficiency with wet-heat syndrome get worse in the acute stage than it in the convalescent stage and the incidence of Qi deficiency with the wet-heat syndrome increases gradually. Qi and Yin deficiency syndrome and Qi and Yin deficiency with wet are the main syndrome in the recovery stage.