急性后循环梗死中医体质与CISS病因分型的相关性研究

发布时间：2018-03-08 02:06

本文选题：急性后循环梗死　切入点：中医体质　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:研究急性后循环梗死中医体质分布特点,并从CISS病因分型、梗死部位、病变血管等方面研究其与中医体质的相关性,以指导急性后循环梗死的早期、个体化、中西医学结合诊疗。方法:临床选择207例急性后循环梗死患者;结合病史、相关检查对患者的中医体质、CISS病因分型做出判定;统计其梗死部位、病变血管;采用SPSS17.0统计软件对数据进行处理分析。结果:207例患者以痰湿、气虚体质多见;CISS病因分型以大动脉粥样硬化(LAA)型居多;与平和质比较,痰湿质、湿热质易发生大动脉粥样硬化(LAA)型脑梗死,差异具有统计学意义。207例患者以椎动脉颅内段血管病变最多;与平和质相比,痰湿质易导致椎动脉颅内段血管病变,差异具有统计学意义。急性后循环梗死患者常见中段梗死;在大动脉粥样硬化(LAA)型中以远段梗死多见,在穿支动脉疾病(PAD)型中以中段梗死多见,差异具有统计学意义。结论:急性后循环梗死患者中医体质以痰湿质、气虚质多见;病变血管以椎动脉颅内段最常见;痰湿质是大动脉粥样硬化(LAA)型脑梗死的危险体质,同时也是引起椎动脉颅内段动脉硬化、狭窄、闭塞等病变的危险体质。急性后循环梗死患者最常见的梗死部位为中段梗死,CISS病因分型以大动脉粥样硬化(LAA)型和穿支动脉疾病(PAD)型为主;大动脉粥样硬化(LAA)型脑梗死多见远段梗死,穿支动脉疾病(PAD)型脑梗死以中段梗死多见。
[Abstract]:Objective: to study the characteristics of TCM constitution distribution of acute posterior circulation infarction (ARCI), and to study the correlation between TCM constitution and CISS etiological classification, infarct location, pathological vessels and so on, in order to guide the early stage and individualization of acute posterior circulation infarction. Methods: 207 patients with acute posterior circulation infarction were selected clinically. The data were analyzed by SPSS17.0 software. Results: phlegm dampness and Qi deficiency were more common in 207patients than those in Atherosclerotic arteriosclerosis (LAA), and phlegm dampness was more common than that of calmness. Large artery atherosclerosis (Atherosclerosis) type cerebral infarction is easy to occur in dampness and heat, the difference is statistically significant. 207 patients have the most intracranial vascular lesions in vertebral artery, and phlegm dampness is more likely to lead to intracranial vascular lesions in vertebral artery than that in calmness. The difference was statistically significant. In the patients with acute posterior circulation infarction, the common middle segment infarction was more common in the large artery atherosclerotic laa type, and the middle segment infarction was more common in the perforating artery disease (PAD) type than in the large artery atherosclerosis type (LAA). Conclusion: phlegm dampness, qi deficiency are common in TCM patients with acute posterior circulation infarction, intracranial segment of vertebral artery is the most common pathological vessel, phlegm dampness is the dangerous constitution of cerebral infarction with large artery atherosclerosis. It also causes arteriosclerosis and stenosis in the intracranial segment of the vertebral artery. The most common infarct site in patients with acute posterior circulation infarction was the major type of Atherosclerosis (Atherosclerosis) and perforating artery disease (PAD). Atherosclerotic laa) type of cerebral infarction is more common than perforating artery disease (PAD) type of cerebral infarction.
【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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