癫痫中医证候相关因素调查.docVIP

　　癫痫中医证候相关因素调查 【摘要】 目的 找出癫痫中医证候分布特点和主要趋势,为中西医结合治疗开阔思路。方法 制定临床病例观察资料,探究中医证候与本病相关因素的关系。结果 202例患者各证候之间性别、发作频率、病因、影像学检查及脑电图严重程度比较差异无统计学意义(Pgt;0.05)。脾虚痰盛证以少年儿童多见,肝肾阴虚证以中老年多见,差异有显著统计学意义(Plt;0.01)。不同证候的病程、发病年龄、发作类型、放电起源部位差异有统计学意义(Plt;0.05)。结论 癫痫中医证候以风痰内阻证及痰火上扰证多见。各证候在性别、发作频率、病因、影像学检查及脑电图严重程度等方面无特异性。脾虚痰盛证以少年儿童多见；肝肾阴虚证以中老年多见。病程长以虚证或虚实夹杂证多见；病程短以实证多见。发病于儿童期以虚实夹杂证或虚证多见；发病于青年、中年时期以实证较多见。放电部位起源于颞叶者以风痰内阻证多见,起源于额叶者以痰火上扰证多见,全面性放电以脾虚痰盛证多见。 【关键词】 癫痫；中医证候 Abstract：Objective To find out the rules of distribution of TCM syndromes and the main trend in epilepsy, and search a needicine in treatment of epilepsy. Methods A scale for observation ulated and the influences of relevant factors on TCM syndromes es had no statistical significance differences (Pgt;0.05) in sex, attack frequency, cause of disease, MRI and EEG among 202 patients. The TCM syndrome of excess ain type of child patients, on in middle-aged and old patients, and they had prominent statistical significance (Plt;0.01). Course of disease, onset age, different types, different discharge locations had statistical significance (Plt;0.05) in different syndromes. Conclusions Most important t types are and phlegm fire disturbing upper body in epilepsy. All TCM syndromes have no statistical significance (Pgt;0.05) in sex, attack frequency, cause of disease, MRI and EEG. The excess type is mon in children, and the deficiency in liver and kidney type is usual in middle-aged and the elderly. Long disease course manifests deficiency or deficiency mixed es, ainly shoes. Earlier age of onset manifests deficiency or deficiency mixed es, and onset in youth and middle age often shoes. Discharge location in temporal lobe is often of type, fire disturbing upper body type. RI、视频脑电图检查及中医症状观察。参照中医癫痫病证分类标准及临床症状将202例患者分为五个证候：风痰内阻证、痰火上扰证、脾虚痰盛证、心脾两虚证、肝肾阴虚证。以此五证为中心分别与如上观察指标进行统计分析。 　　1.4 统计学方法 计数资料用卡方检验,计量资料用方差分析。Plt;0.05为有统计学意义。 　　2 结果 202例患者中风痰内阻证65例(32.2%),痰火上扰证59例(29.2%),脾虚痰盛证31例(15.3%),心脾两虚证29例(14.4%),肝肾阴虚证18例(8.9%)。癫痫中医证候与相关因素的关系见表1、表2。表