阳明病变及老年期血管性痴呆相关性的临床研究.pdfVIP

提 要 目的：本研究通过调查老年人群中血管性痴呆的中医证候分布和阳明病变证候分 布情况，探讨阳明病变与老年期血管性痴呆是否存在一定相关性，以便于为临床治疗 血管性痴呆寻找新突破点。方法：本研究采用聚类分析和频数统计的方法，用现场调 查的方式搜集134例老年期血管性痴呆患者的信息，对其进行统计、分析，总结出老 年期血管性痴呆的中医证候分布和阳明病变证候分布情况。结果：134例血管性痴呆 患者的症状经聚类分析后可划分为4类，经专家讨论给予适当的名称，分别为：肾虚 血瘀；痰浊蒙窍；心脾两虚；阳明蓄血。然后查阅所有收集病历资料，结合对症状的 聚类分析，可以得出阳明蓄血证患者共 20 例，占所有患者的 14.93％；兼有阳明证 实证的患者共 88 人，占总人数的 65.7％；兼有阳明病热证患者共 25 人，占 18.66 ％。结论：通过调查，阳明蓄血证型在老年期血管性痴呆患者中确实存在，由此可见 阳明蓄血是一个重要病机，而在所有患者中，阳明病症候是广泛存在的，以阳明蓄血 为点，阳明病症候广泛分布为面，从而得出阳明病变与血管性痴呆是有一定相关性的。 关键词 血管性痴呆；阳明病变；阳明蓄血；证候分布；聚类分析 Clinical Research on correlations between Vascular Dementia in old age and lesions of Yang Ming Speciality：neuropathic Author ：Zhang Xin Tutor：Sun Xiqing Abstract Objective：This study is by investigating vascular dementia in the elderly population of TCM syndrome distribution and the syndrome distribution of Yang Ming lesions ,to discuss if there exist certain correlations in order to find new breakthrough on the clinical treatment of vascular dementia.Methods ：This study uses cluster analysis and frequency statistics to the informations which are collected with on-site investigation of 134 cases of vascular dementia patient ,through statistics and analysis, summarized that vascular dementia in the elderly population of TCM syndrome distribution and the syndrome distribution of Yang Ming lesions Results ：134 patients with symptoms of vascular dementia by the cluster analysis can be divided into four categories discussed by the experts to give an appropriate name, respectively: kidney deficiency and blood stasis; phlegm blinded orifices; both heart and spleen weakliness; blood amassment of Yang Ming. Then access to all medical records collected, combined with cl