颈动脉粥样硬化与中风病火热病机的研究和临床观察.pdfVIP

提 要 目的：探讨颈动脉粥样硬化(CAS)火热病机的影响因素，分析 CAS 火热证与中风 病发病的相关性，拓展对中风病一级、二级预防的思路。方法：通过临床采集 CAS 患者的相关信息，运用统计学方法对患者的症状体征及相关资料进行分析，初步探讨 火热病机的影响因素，CAS 火热证与中风病发病的相关性。统计结果：(1)CAS 火热 证组患者男性较女性多见；(2)打鼾、吸烟、嗜咸、压力大、喜辣食、高血压病史与 CAS 火热证密切相关； (3) CAS 伴中风病组与单纯 CAS 非火热证组在打鼾程度、吸 烟指数、高血压、颈动脉粥样硬化程度方面具有显著差异，而与单纯 CAS 火热证组 比较则无显著差异，提示单纯CAS 火热证组与中风病组在上述方面的相似性。结论： (1) CAS 患者中男性火热证居多；(2)打鼾、吸烟、嗜咸、压力大、辣食、高血压是 CAS火热病机的常见影响因素；(3)CAS火热证与中风病在危险因素和粥样硬化程度方 面具有相似性，因此CAS火热证发生中风病的危险性更大，早期干预具有重要意义。 关键词 颈动脉粥样硬化；中风病；火热；临床调查 Research and Clinical Observation of Fire-heat Pathogenesis of Carotid Atherosclerosis and Apoplexy Specialty: the study of neuro-medical disease clinical of TCM Author: Yu Xiaoming Tutor: Prof. DING Yuanqing Abstract Objective: To discuss influence factors of the fire-heat pathogenesis of carotid atherosclerosis (CAS), analyze the correlation between fire-heat pathogenesis of CAS and onset of apoplexy, and expand thoughts of the primary and secondary prevention of apoplexy. Methods: We made clinical acquisition of the relevant information of patients with CAS and analyze their symptoms, physical signs and related data with statistical methods to preliminarily investigate influence factors of fire-hear pathogenesis and the correlation between the fire-heat syndrome of CAS and onset of apoplexy. Results: (1) There were more male patients than female ones in the fire-heat syndrome of CAS group. (2) Snoring, smoking, salt flavoring, great pressure, spicy food and hypertension history were closely related to the fire-heat syndrome of CAS. (3) There were significant differences in the degree of snoring, smoking index, hypertension a