急性脑梗死病因病机临床初步分析.pdfVIP

国际中医中药杂志2013年12月第35卷第12期 lntLTra.d_Chin Med. December 2013. Vol. 35. No.12 • 1059 • ·临床调研· 急性脑梗死病因病机临床初步分析 苏占清丁莹陆倩陶家平康冰 【摘要】 目的 从中西医结合的角度探析急性脑梗死的病因病机特点。方法 对 64 例急性脑梗死 患者的舌象、脉象内容进行归类统计，计算其出现频次及构成比等;对患者血压及实验室检查结果进行 描述统计，计算其均值及标准差等。结果 患者舌质暗红 48 次(77.4%) ;苔薄腻 34 次(54.8%) ;苔腻黄 或微黄 20 次(32.3%) ;弦滑脉 41 次(64.1%); l缩压(systolic blood press旧e. SBP) 、总胆固醇(total cholesterol. TC) 、白细胞(white blood cel. WBC)计数、中性粒细胞百分比(neutrophil percentage. NEUT%) 、 空腹血糖(fasting plasma glucose. FPG) 、糖化血红蛋白 (hemoglobin AIc HbA ) 的均值及标准差分别为 1c (14 1.20 :t 19.20)mm Hg(l mm Hg=0.133 kPa) 、 (4.47 :t 0.97) mmoνL、 (7.83 士2.63) X 1Q91L、 (7 1.61 :t 9.65)%、 (6.1 6 :t 2.25) mmol/L、 (6.60 :t 1.66) %。结论病因方面，风、旅、热(火〉、浊(痰湿等)在急 性脑梗死的发病中起着重要作用:病机特点，正气尚充、邪气盛实。血压、血糖、血脂等结果在脑梗死 的病因、病机的判定中所起作用有待进一步探讨。 【关键词】 急性脑梗死:中医:西医:病因:病机 Aprelimioaη， clioical aoalysis 00 pathogeoes aod pathogeoesis of acute cerebral iofarctioo SU Zhan-qing, DING Yìng, LU Qian, TAO Jia飞ping， K.ANG Bing. Brain Hospital q庐/iated 10 Nanjing Medical University, Na1i尊ing， 210029,China Corresponding aulhor: SU Zhan-qing , Email: suzhanqingnj@126.com Abstract Objective To explore pathogenes and pathogenesís of acute cerebral infarction (ACI) 仕om the perspectíve of integrated traditional and western medicine. Methods To categorize the tongue and pulse manifestation of 64 ACI patients and calculate their 企equency， constítuent ratíos. Meanwhile, patients blood pressure and laboratory examínation results are gíven descriptive and statistical analysis , showing their means and standard deviations , etc. Results The frequency of dark-red tongue ,thin-greasy tongue fur, greasy-yellow tongue fur and taut-slippery ís respectively 48 , 34, 20 , and 41 , con