缺血性中风急性期证候要素与发病运气关系的探讨

发布时间：2018-03-25 00:10

本文选题：缺血性中风　切入点：急性期　出处：《广州中医药大学》2016年硕士论文

【摘要】：目的：观察分析缺血性中风急性期患者的证候要素分布与发病运气,运用五运六气理论探讨两者之间的关系,从而为临床应用阴阳学说、运气学说来指导缺血性中风的防治打下基础。方法：采用回顾性研究方法,从2014年1月20日至2016年1月19日于茂名市中医院脑病科住院的病人中筛选出符合要求的缺血性中风急性期病例,收集其一般资料和发病时间,按照五运六气时间段得出发病运气；收集病例的中医四诊信息,填写证候要素诊断量表,根据量表得分确定其证候要素；建立信息数据库,应用SPSS19.0分析软件对资料进行分析。结果：1、缺血性中风急性期的证候要素分布在甲午年为内风235频次、内火14频次、痰湿82频次、血瘀80频次、气虚135频次、阴虚29频次；乙未年为内风310频次、内火26频次、痰湿138频次、血瘀102频次、气虚147频次、阴虚47频次。2、缺血性中风急性期的证候要素在甲午年及乙未年的分布差异具有统计学意义(P0.05)。在此两年,内风出现频次最多,气虚次之,而内火出现频次最少。3、从六步间气来看,在甲午年,证候要素内风、血瘀、阴虚在各间气的分布差异没有统计学意义(P0.05),而内火、痰湿、气虚在各间气的分布差异具有统计学意义(P0.05)；在乙未年,证候要素内风、痰湿在各间气的分布差异没有统计学意义(P0.05),而内火、血瘀、气虚、阴虚在各间气的分布差异具有统计学意义(P0.05)结论：本研究发现缺血性中风急性期的证候要素分布在甲午年及乙未年与五运六气规律大致相符,由此认为缺血性中风急性期证候要素分布具有一定的运气学规律,但确切的结论尚有待于大样本的更深入的临床研究结果证实。
[Abstract]:Objective: to observe and analyze the distribution of syndromes and the incidence of luck in patients with acute ischemic apoplexy, and to explore the relationship between them by using the theory of "five Transport and six Qi", so as to apply the theory of yin and yang in clinic. The theory of luck was used to guide the prevention and treatment of ischemic stroke. From January 20, 2014 to January 19, 2016, patients in the Department of Encephalopathy, Maoming traditional Chinese Medicine Hospital, were screened out to meet the requirements for acute ischemic stroke cases, and their general information and onset time were collected. According to the five transportation and six qi period to get the disease luck; collect the information of TCM four diagnosis, fill in the syndrome factors diagnosis scale, according to the scale score to determine its syndromes elements; establish information database, Results in the acute phase of ischemic apoplexy, the factors of syndromes in the acute phase of ischemic apoplexy were found to be 235 times of inner wind, 14 times of internal fire, 82 times of phlegm dampness, 80 times of blood stasis, 135 times of deficiency of qi and 29 frequency of yin deficiency. B was 310 times of internal wind, 26 times of internal fire, 138 times of phlegm and dampness, 102 times of blood stasis, 147 times of qi deficiency. The distribution of syndromes in acute phase of ischemic apoplexy was significantly different in the year of Jiawu and the year of second year (P 0.05). In these two years, the frequency of internal wind appeared the most frequently, followed by deficiency of qi, and the frequency of internal fire was the least. 3, from the view of six steps of Qi, In the year of Jiawu, there was no significant difference in the distribution of wind, blood stasis and yin deficiency in each Qi, but the distribution of internal fire, phlegm dampness and deficiency of qi in each Qi had statistical significance (P 0.05). The distribution of phlegm and dampness in different qi had no statistical significance (P 0.05), but internal fire, blood stasis, deficiency of qi, Conclusion: this study found that the distribution of syndromes in acute phase of ischemic apoplexy was approximately consistent with the pattern of "Wu Yun and Liu Qi" in the year of Jiawu and the year before the second half of the year, and the distribution of the syndromes in the acute phase of ischemic apoplexy was similar to that in the year of Jiawu. It is concluded that the distribution of syndromes in acute phase of ischemic apoplexy has a certain rule of luck, but the exact conclusion needs to be confirmed by the further clinical research of large sample.
【学位授予单位】：广州中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R255.2

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