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慢性脑缺血颈动内膜厚度与中医证候相关性的临床研究
目 录
中文摘要 ··················································4
英文摘要 ··················································6
引 言 ···················································7
正 文 ····················································8
1 资料与方法 ·················································8
1.1 病例来源 ·················································8
1.2 诊断标准 ················································8
1.3 纳入标准 ················································9
1.4 排除标准 ···············································9
1.5 方 法 ···················································9
1.5 统计学方法 ··············································11
2 结果 ·····················································11
2.1 慢性脑缺血患者性别、年龄与颈动脉IMT 相关性 ·············11
2.2 慢性脑缺血患者基础疾病年龄分布与中医证候相关性 ··········12
2.3 慢性脑缺血患者颈动脉IMT 及斑块检出率相关性 ·············12
2.4 慢性脑缺血患者中医证候分类与基础疾病颈动脉内膜厚度相关
性 ······················································13
2.5 慢性脑缺血患者中医证候与血脂相关性比较··················14
3 讨论 ·····················································14
3.1慢性脑缺血的发病机理 ································14
3.2中医对慢性脑缺血的认识 ······························16
3.3中医证候与相关指标分析 ······························18
4 存在的问题和展望 ·····································19
5 结论 ····················································20
参考文献 ··················································21
综 述 ··················································24
致 谢 ···················································37
攻读学位期间发表的学术论文 ··························38
广西中医学院研究生学位论文作者声明 ················39
个人简历 ················································40
中 文 摘 要
目 的：用彩色多谱勒超声的方法观察慢性脑缺血患者颈动脉内膜厚
度及斑块与中医证候的关系。
方 法：收集符合试验要求的慢性脑缺血患者 150 例，全部病例来源
于广西中医学院第一附属医院神经内科的门诊和住院病人，选用彩色多
普勒超声仪，行颈动脉内膜厚度及斑块测量、比较及进行血脂分析。
从中医的证入手，以辨证论治原则为指导，结合气血亏虚证、气虚血瘀
证、痰浊中阻证、肝肾阴虚证、风阳上扰证 5 个证候，对颈动脉内膜厚
度异常变化及特点进行中医证候相关性分析，最后总结其分布规律。
结 果：150 例经彩色多谱勒超声检测的慢性脑缺血患者
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