出血性中风中医证候要素分布规律研究

目的 探讨出血性中风证候要素分布特点和演变的规律.方法 收集2016年6月-2019年1月于北京中医药大学东直门医院、太原市中医院、长春中医药大学附属医院接受诊治的脑出血患者494例,研究证候要素的分布及变化规律.结果 494例脑出血患者中,最为常见的证候要素为痰,其次为血瘀、风、火,气滞出现最少;两个证候要素组合最多...

Study on distribution of TCM syndrome elements in hemorrhagic stroke patients

Objective To explore the distribution characteristics and evolution law of syndrome elements in patients with hemorrhagic stroke.Methods 494 patients with hemorrhagic stroke,who received treatment in Dongzhimen Hospital of Beijing University of Traditional Chinese Medicine,Taiyuan Hospital of Traditional Chinese Medicine and Affiliated Hospital of Changchun University of Traditional Chinese Medicine from June 2016 to January 2019,were selected as subjects to study the distribution characteristics and evolution law of syndrome elements in patients with hemorrhagic stroke.Results In the 494 patients with hemorrhagic stroke,the commonest syndrome element was phlegm,followed by blood stasis,wind and fire,and the least qi stagnation.Phlegm and blood stasis were the commonest combination of two elements,followed by phlegm heat and wind phlegm.Wind,phlegm and blood stasis were the commonest combination of three elements,followed by fire,phlegm and blood stasis.In the process of disease progression,phlegm and blood stasis always ranked the top two elements.Male patients are more likely than female patients to develop fire syndrome and qi deficiency syndrome.Smoking and drinking patients are more likely to have fire syndrome and phlegm syndrome.Conclusion Phlegm and blood stasis are the two most prominent syndrome elements in patients with hemorrhagic stroke,and run throughout the disease.