中风（非急性期）共病失眠临床资料分析与病机探讨

发布时间：2018-04-28 15:46

本文选题：中风(非急性期) + 失眠　；参考：《山东中医药大学》2016年硕士论文

【摘要】：目的:分析68例中风(非急性期)共病失眠的临床资料,观察其常见证候分布,进而探讨其病机特点。方法:临床采集中风(非急性期)、失眠及中风(非急性期)共病失眠患者的相关信息,运用统计学方法,分析三组危险因素的差异及其证候分布规律,初步探求中风(非急性期)共病失眠的病机。结果:高龄、绝经、肥胖、鼾眠、吸烟、高血压与中风(非急性期)共病失眠密切相关。主要症状为记忆力欠佳、情绪急躁、口干(苦)、乏力、肢体不利、头晕昏沉、精力欠佳、言语不利、便干、情绪低落,舌苔以暗红舌、黄腻苔为主,脉象以弦滑脉、沉弦滑脉、弦细沉脉、沉弦细滑脉为主,常见的证候分布为阴虚证(42.6%)痰热瘀阻证(36.8%)气虚证(10.3%)痰热证(5.9%)瘀热证(4.4%)(P0.05)。结论:阴虚热扰,形神失和是中风(非急性期)共病失眠的基本病机,心主血脉失常是中风(非急性期)共病失眠的病理基础。
[Abstract]:Objective: to analyze the clinical data of 68 cases of syndromic insomnia of apoplexy (non-acute stage), observe the distribution of common syndromes, and explore its pathogenesis. Methods: the clinical data of patients with stroke (non-acute stage), insomnia and stroke (non-acute stage) were collected. The difference of risk factors and the distribution of syndromes were analyzed by statistical method. To explore the pathogenesis of stroke (non-acute stage) syndromes and insomnia. Results: old age, menopause, obesity, snoring sleep, smoking, hypertension and stroke (non-acute) coexisting insomnia were closely related. The main symptoms are poor memory, emotional impatience, dry mouth (bitter, tired, unfavorable limbs, dizziness, poor energy, unfavorable speech, dry mood, low mood, dark red tongue, yellow greasy fur, pulse with string smooth pulse, sinking string slippery vein, The common syndromes were Yin deficiency syndrome (42.6%) phlegm heat stasis syndrome (36.8) Qi deficiency syndrome (10.3) phlegm heat syndrome (5.9%) blood stasis syndrome (4.4B) P0.05N. Conclusion: heat disturbance of yin deficiency and disharmony of form and spirit are the basic pathogenesis of insomnia in syndromes of apoplexy (non-acute stage), and the disorder of heart and blood vessel is the pathological basis of insomnia of co-disease in apoplexy (non-acute stage).
【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】：R255.2

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