脑中风常见临床证型与脑CT影像结果关系探析

发布时间：2018-11-09 12:48

【摘要】：目的:分析脑中风常见的的中医辨证分型与脑CT影像学结果的相关性。探讨中经络证与中脏腑证脑CT征象的规律性。方法:对选取的180例中风患者进行头部CT扫描,观察、记录病变的种类、病灶密度、脑出血量、病变部位、病灶范围以及中线移位、脑室改变等情况,并利用医学统计学方法分析、归纳,总结二者的相关性。结果:中经络证者在脑CT表现上以脑梗塞为主,病灶密度值低,出血量少,范围小,病变以基底区为主,对脑周围组织的影响较小,病情相对较轻,而中脏腑证者脑CT结果以脑出血为主,病灶密度值高,出血量多,范围大,病变以基底区及脑叶区为主,对脑周围组织的影响较大,病情相对较重。而中风脱证患者的脑出血量多于闭证患者,病灶范围也大于中风闭证患者,病情较中风闭证更严重。结论:脑中风患者脑CT影像结果与临床辨证证型之间存在相关性,CT影像学结论可以成为中医临床辨证诊断的微观、量化指标和重要参考依据,为中医辨证在微观方面提供了最直接、最客观的物质基础。
[Abstract]:Objective: to analyze the correlation between cerebral CT imaging results and traditional Chinese medicine syndrome differentiation in cerebral apoplexy. To explore the regularity of CT signs in the middle meridian syndrome and the middle zang-fu organ syndrome. Methods: a total of 180 patients with apoplexy were examined by CT. The types of lesions, the density of lesions, the amount of cerebral hemorrhage, the location of lesions, the range of lesions, the midline displacement, the changes of ventricle, and so on were recorded. And use the medical statistics method to analyze, sum up, sum up the correlation between the two. Results: cerebral infarction was the main manifestation of CT in the patients with middle meridian syndrome. The density of the lesion was low, the amount of bleeding was less and the range was small. The lesion was mainly in the basal area and had little effect on the surrounding brain tissue, and the disease was relatively mild. The results of CT in the patients with middle viscera syndrome were mainly cerebral hemorrhage with high density, large amount of bleeding and large range. The lesions were mainly basal area and lobar area, which had a great influence on the surrounding brain tissue, and the disease was relatively serious. The amount of cerebral hemorrhage in apoplexy patients was more than that in closed patients, and the lesion scope was larger than that in apoplectic patients, which was more serious than that in apoplectic patients. Conclusion: there is a correlation between the results of brain CT imaging and clinical syndrome differentiation in patients with cerebral apoplexy. The conclusion of CT imaging can be used as the microscopic, quantitative and important reference basis for the diagnosis of TCM clinical syndrome differentiation. It provides the most direct and objective material basis for TCM syndrome differentiation in micro aspect.
【作者单位】：台州市立医院放射科;
【分类号】：R277.7;R816.1

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