医学论文：200例高血压病中医辨证分型与经颅多普勒超声的关系.docVIP

【摘要】? 　　探讨高血压病中医辨证分型与经颅多普勒超声(tcd)血流参数值之间的关系。方法 应用tcd检测200例中医4型高血压病患者大脑中动脉(mca)、大脑前动脉(aca)及大脑后动脉(pca)的平均血流速度(vm)和血管搏动指数(pi)，并与30例正常血压者对照观察。结果：肝火亢盛型、阴虚阳亢型高血压病mcv、aca的vm均高于正常对照组(p0.05)，而pi与正常对照组比较差异无统计学意义(p＞0.05)；阴阳两虚型的pca、痰湿壅盛型的mcv、aca及pca的vm均低于对照组(p＜0.05)，而pi均明显高于对照组(p0.05)。结论 tcd血流检测可在一定程度上为高血压病中医辨证分型提供客观依据。 【关键词】? 辨证分型 超声心动描记术 多普勒 高血压??? 　　【abstract】? objective? to investigate the relationship between differentiation of symptoms and signs for classification of syndrome and blood flow parameter transcranial dopper (tcd) of hypertension. methods? blood flow velocities of anterior cerebral artery (aca), middle cerebral artery (mca) and posterior cerebral artery (pca) and pulsatility index (pi) in 200 patients with four types hypertension were measured by tcd ultrasonograph. and the parameters of tcd were compared with blood pressure of health human (control group). results? average blood flow velocities of aca and mca in hypertension patients with type of overabundant liver-fire and type of deficiency of yin leading to hyper activity of yang were higher than those in control group (p0.05). there was no difference between two groups on pi (p0.05). average blood flow velocities of aca, pca and mca in hypertension patients with type of qi-asthenia phlegm muddy pca of type of asthenia of both yin and yang and were lower than those in control group (p0.05). pi in the both groups were higher than that in control group (p0.05). conclusion? blood flow of tcd was an objective evidence for differentiation of symptoms and signs for classification of syndrome of hypertension. ??? 　　【key words】? differentiation of symptoms and signs for classification of syndrome; echocardiography; doppler; hypertension 　　高血压病是以体循环动脉压增高为主伴有其他临床症状的一组综合征，心脑动脉是容易较早受累的血管之一，可表现出血流动力学的改变。2005-01—2007-06，我们收集200例高血压病患者中医辨证分型及经颅多普勒超声(transcranial doppler，tcd)的资料进行了相关分析，现报告如下。　　1? 资料与方法　　1.1? 诊断标准? 　　中医辨证参照中华人民共和国卫生部l993年颁布的《中药新药临床研究指导原则》［1］，将高血压病分为肝火亢盛、阴虚阳亢、阴阳两虚和痰湿壅盛4型；西医诊断及分期按《中国高血压防治指南》修订标准执行［2］。排除严