缺血性脑卒中左右侧偏瘫的证候差异性及体质类型研究

发布时间：2018-01-06 07:07

本文关键词：缺血性脑卒中左右侧偏瘫的证候差异性及体质类型研究　出处：《山东中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的:探讨缺血性脑卒中左右偏瘫患者在中医证候和中医体质学的差异性,根据数据分析结果,为偏瘫患者临床体质调节和中医辨证论治提供新的参考。方法:以缺血性脑卒中偏瘫患者为研究对象,通过病例报告表(CRF)收集临床患者的资料数据,采用填写积分表的形式对偏瘫患者证候类型与中医体质的数据进行转化,运用SPSS 19.0软件对相应数据进行统计处理,最终分析患者证候类型、体质分型与偏瘫肢体之间的关系。结果:左侧偏瘫患者的证候类型最常见是血瘀证,其他依次是阴虚阳亢证、痰证、风证、气虚证、火热证。右侧偏瘫患者的证候类型最常见是痰证,其他依次是风证、气虚证、血瘀证、阴虚阳亢证、火热证。两组的体质类型中都没有找到特禀质,左侧偏瘫组常见中医体质依次是阴虚质、痰湿质、气虚质、平和质、血瘀质、阳虚质、湿热质、气郁质。右侧偏瘫组常见中医体质依次是痰湿质、气虚质、阴虚质、阳虚质、气郁质、平和质、血瘀质、湿热质。根据以上数据分析结果,提示缺血性脑卒中左右偏瘫患者在中医证候和中医体质类型两个方面都有较为明显的差异。结论:中风左右侧偏瘫患者在体质分类与证候类型之间可能存在一定的差异。而且通过数据调查也证实体质分类与证候类型存在相关性。这对于因中风出现左右侧偏瘫患者的治疗提供一定的参考意义,提示对于左侧偏瘫患者治疗上可注重清热活血和滋补肝肾,右侧偏瘫患者则注重于清化痰浊和益气健脾。
[Abstract]:Objective: to explore the difference of TCM syndromes and TCM physique in patients with left and right hemiplegia after ischemic stroke, and analyze the results according to the data. To provide a new reference for clinical physique regulation and TCM syndrome differentiation of hemiplegic patients. Methods: taking ischemic stroke hemiplegia patients as the research object, the data of clinical patients were collected by CRF (case report form). Using the form of filling in the form of integral form of hemiplegia syndrome type and TCM physique data transformation, using SPSS 19.0 software to the corresponding data for statistical processing, and finally analyze the type of patients syndrome. Results: the most common syndrome type of left hemiplegia patients is blood stasis syndrome, the other is Yin deficiency Yang hyperactivity syndrome, phlegm syndrome, wind syndrome, Qi deficiency syndrome. The syndrome type of right side hemiplegia is phlegm syndrome, the other is wind syndrome, qi deficiency syndrome, blood stasis syndrome, Yin deficiency Yang hyperactivity syndrome, fire heat syndrome. The common TCM constitution of left hemiplegia group is yin deficiency, phlegm and dampness, qi deficiency, calmness, blood stasis, yang deficiency, dampness and heat, qi stagnation, while in the right hemiplegia group, phlegm dampness and qi deficiency are common TCM physiques. Yin deficiency, Yang deficiency, Qi stagnation, Peace, Blood stasis, damp and Heat. According to the above data analysis. It is suggested that there are obvious differences in TCM syndromes and TCM physique types in patients with left and right hemiplegia after ischemic stroke. Conclusion:. There may be some differences between physique classification and syndromes type in stroke patients with left and right hemiplegia, and the correlation between constitution classification and syndrome type is also confirmed by data investigation, which is related to the occurrence of left and right hemiplegia due to apoplexy. The treatment of patients provides some reference significance. It is suggested that the patients with left hemiplegia should pay attention to clearing heat and activating blood circulation and nourishing liver and kidney, while patients with right hemiplegia should pay attention to clearing phlegm and turbid and tonifying qi and invigorating spleen.
【学位授予单位】：山东中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R277.7

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