崇明地区急性脑梗死患者中医辨证分型特点及与血黏度的相关性

目的:观察崇明地区急性脑梗死(ACI)中医各证型中的分布特点,探讨各证型与血黏度的关系.方法:314例ACI患者,按照中医辨证分型标准分为风火上炎证、风痰瘀阻证、痰热腑实证、气虚血瘀证和阴虚风动证,计算各组所占的比例,人院第2天进行血黏度水平测定.结果:ACI患者中风痰瘀阻证117例、气虚血瘀证76例,分别占总人数的37.3％,24.2％,明显高于其他各组(P＜0.05).各证型中血黏度水平与对照组比较,均有显著性差异(P ＜0.05或P＜0.01),其中风痰瘀阻、气虚血瘀为主的证型与其他各组比较,差异尤为明显(P＜0.05).结论:崇明地区ACI中医分型以风痰瘀阻证,气虚血瘀证为主,血黏度可作为ACI风痰瘀阻、气虚血瘀分型研究的客观依据.

Distribution of Syndrome Differentiation by Traditional Chinese Medicine for Acute Cerebral Infarction in Chongming Area and Relationship with Blood Viscosity

Objective: To Study the distribution of syndrome differentiation by traditional Chinese medicine(TCM) for acute cerebral infarctiona (ACI) in Chongming area and relationship with the blood viscosity. Method: Three hurdred and fourteen patients with ACI were divided into five groups: the syndrom of upward invading of wind-fire,wind-phlegm blocking,phlegm-heat FU-organ excess, blood stagnancy due to Qi-deficiency, wind syndrom due to YIN-deficiency according to the differentiation standard of syndromes based on TCM. Blood viscosity was detected and the proportion of ACI patients with above syndroms were analyzed. Result: The proportion of wind-phlegm blocking and blood stagnancy due to Qi-deficiency were higher than other groups(P<0.05). The blood viscosity of five group was higher than normal roups(P<0.05 or P<0.01), and the statistical difference was found in five groups (P<0.05). Conclusion: The results indicates that there exists a relativity betweenblood viscosity and syndrome differentiationbased on TCM and in Chongming area, wind-phlegm blocking and blood stagnancy due to Qi-deficiency may be main syndrome of ACI.