脑梗死后痉挛性瘫痪中医证候及相关因素研究

发布时间：2018-04-12 00:36

本文选题：脑梗死 + 痉挛性瘫痪　；参考：《辽宁中医杂志》2017年08期

【摘要】：目的:了解脑梗死后痉挛性瘫痪发生的相关因素及中医证候分布情况。方法:采用前瞻性研究方法,对符合纳入标准的患者进行资料收集,筛查出脑梗死痉挛性瘫痪患者210例,应用SPSS 22.0和SPSS Modeler软件对统计数据进行分析。结果:本次研究共纳入400例脑梗死患者,其中痉挛组210例,非痉挛组190例,痉挛的总发生率为52.50%。12个月后对400例病例资料进行单因素分析,9个因素经秩和检验或卡方检验后,其中4个因素包括性别、高血压病史、冠心病病史、高脂血症,在非痉挛组和痉挛组之间比较,差异有统计学意义(P0.05),即为脑梗死后痉挛性瘫痪发生的相关因素。根据专业需要和能够用临床解释的分类方法,将中医证候归为3类:血瘀证,共40例,占28.6%;气虚证兼痰证,共60例,占19%;阴虚血瘀,共110例,占52.4%。结论:上述因素是脑梗死后痉挛发生的相关因素,脑梗死后痉挛性偏瘫的基础证型为本虚标实之证,本虚是阴虚和气虚,标实为血瘀和痰湿,其中以血瘀证和阴虚证为主。阴虚、气虚、血瘀、痰皆是痉挛性偏瘫重要的致病因素,多种致病因素互为因果,交相作用而最终发为本病。
[Abstract]:Objective: to investigate the related factors of spastic paralysis after cerebral infarction and the distribution of TCM syndromes.Methods: the data of 210 patients with cerebral infarction spastic paralysis were collected and analyzed by SPSS 22.0 and SPSS Modeler software.Results: a total of 400 patients with cerebral infarction were included in this study, including 210 patients in spasm group and 190 patients in non-spastic group. The total incidence of spasm was 52.50.12 months later, the data of 400 cases were analyzed by univariate analysis. Nine factors were tested by rank sum test or chi-square test.The four factors included sex, history of hypertension, history of coronary heart disease, hyperlipidemia. There was significant difference between non-spasticity group and spastic group (P 0.05), which was the related factor of spastic paralysis after cerebral infarction.According to the professional needs and the classification method which can be explained by clinical practice, TCM syndromes were classified into three categories: blood stasis syndrome (40 cases), Qi deficiency syndrome and phlegm syndrome (60 cases) and yin deficiency blood stasis (110 cases), accounting for 52.4%.Conclusion: the above factors are the related factors of spasticity after cerebral infarction. The basic syndrome type of spastic hemiplegia after cerebral infarction is the syndrome of deficiency and deficiency of yin and qi, and the standard is blood stasis and phlegm dampness, in which blood stasis and yin deficiency are the main syndromes.Yin deficiency, qi deficiency, blood stasis and phlegm are important pathogenic factors of spastic hemiplegia.
【作者单位】：天津市第四中心医院中医科;天津市南开医院脑病科;天津市中医药大学第一附属医院针灸科;天津市中医药研究院附属医院针灸科;天津市第四中心医院消化内科;
【基金】：天津市卫生和计划生育委员会中医中西医结合科研项目(2015054)
【分类号】：R277.7

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