冠心病合并中风的基础治则治法研究

发布时间：2019-03-03 14:26

【摘要】：目的:探讨冠心病合并中风的基础治则治法。方法:冠心病合并中风治则治法临床专家调查问卷。调查对象为分布在全国六大地区,61家医院的具有3年及3年以上连续从事冠心病、脑卒中治疗经历的1500位临床一线医师,共计收回1500份合格问卷。使用R 3.1.2统计分析平台及Microsoft Office 2007办公软件,以列联表、堆叠条形图形式,并应用组合分析、排序分析方法对数据进行统计分析,得出各专家的基础法方药。结果:在冠心病合并中风判断病情时,应首先判断病势缓急轻重,然后判断病位(脏腑、经络、在气在血),再则判断闭证、脱证,最后判断病势的顺逆及标本、虚实。基础治法为熄风、通络;中经络治方为解语丹加减,中脏腑治方为安宫牛黄丸加减;治药为以虫类药搜风通络和芳香药开窍醒神为主。结论:冠心病合并中风基础治则治法研究得出了专家共识,具有广泛的临床应用价值,可为冠心病合并中风的中医规范化诊疗提供科学的理论依据。
[Abstract]:Objective: to explore the basic treatment of coronary heart disease (CHD) complicated with apoplexy. Methods: a questionnaire of clinical experts on treatment of coronary heart disease complicated with apoplexy was conducted. The subjects were 1500 first-line clinicians who had been engaged in coronary heart disease for 3 years or more in 61 hospitals. 1500 qualified questionnaires were collected from 1500 first-line clinicians who had experienced stroke treatment in six major areas of the country, 61 hospitals had been engaged in coronary heart disease for 3 years or more. By using R 3.1.2 statistical analysis platform and Microsoft Office 2007 office software, in the form of row table and stacked bar chart, the data were statistically analyzed by means of combination analysis and sorting analysis, and the basic law prescription of each expert was obtained. Results: in the diagnosis of coronary heart disease combined with apoplexy, we should first judge the severity of the disease, then the position of the disease (Zang-fu organs, meridians and collaterals, qi in the blood), then to judge the closed syndrome, to remove the syndrome, and finally to judge the condition of the disease and the samples, deficiency and reality. The basic treatment method is to extinguish the wind and clear the collaterals; the central meridian prescription is the Jiyu Dan plus subtractive; the middle Zang Fu Zhifang is the Angong Niuhuang pill; the cure medicine is the insect kind medicine search wind to clear the collaterals and the aromatic medicine to open the orifice to wake up the mind mainly. Conclusion: the research on the basic treatment principle of coronary heart disease complicated with apoplexy has reached the expert consensus, which has extensive clinical application value and can provide scientific theoretical basis for the standardized diagnosis and treatment of coronary heart disease complicated with apoplexy in traditional Chinese medicine.
【作者单位】：辽宁中医药大学;沈阳市第二中医医院;沈阳市健康教育中心;辽宁中医药大学附属医院;中国人民大学统计学院;
【基金】：国家自然科学基金面上项目(81273698) 辽宁省中医药临床学(专)科能力建设项目(2012-lnzyxzk-01) 辽宁省特聘教授项目沈阳市科技计划项目(F12-155-9-00)
【分类号】：R255.2;R259

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