痰证病机对出血性中风急性期病情及预后影响的相关性研究鄢.PDF

国 医急症 2015 年6 月第24 卷第6 期 JETCM. Jun 2015 Vol . 24 No.6 -941 - 研究报告 痰证病机对出血性中风急性期病情及 预后影响的相关性研究鄢 1 2 3 王智强 崔春丽 过伟峰 1.江苏省南京市中西医结合医院袁江苏 南京 210000 曰2.江苏省中医院袁江苏 南京 2 10000 曰 3. 南京中医药大学袁江苏 南京 210029 冤 图分类号院R255.2 文献标志码院A 文章编号院1004-745X 渊2015 冤06-0941-03 doi 院10.3969/j.issn.1004-745X.2015.06.001 摘要铱 目的 探讨痰证病机对出血性中风急性期病情及预后影响的相关性遥方法 将926 例出血性 风急性 期患者分为痰证组与非痰证组 分别于第0 尧3尧5尧7 尧11尧21 日进行临床观察 比较两组治疗前后发病情况尧 风病类诊断评分尧格拉斯哥评分渊GCS冤尧修正的RANKIN 评分遥 结果 痰证病机在发病时占重要地位 为出血 性中风发病重要组成证候遥 病程第0 尧11尧21 日痰证组中风病类诊断评分尧GCS 评分尧修正RANKIN 标准评 分分值均明显高于非痰证组 渊均P 0.01 冤遥 两组发病时与病程第21 日 风病类诊断评分尧GCS 评分尧 修正 RANKIN 标准评分差值 较则差别不大渊P 0.05 冤遥 结论 痰证是出血性 风的主要证候 痰证患者 非痰证 患者病情为重 预后较差遥 关键词铱 出血性 风急性期 痰证 病机 临床流行病学调查 The Study on the Effect of Phlegm Syndrome on Acute Stage of Hemorrhagic Stroke Severity and Prog nosis WA NG Zhiqiang CUI Chunli G UO Weifeng. Nanj ing Integrated Traditional Chinese and Western Medicine Hosp ital Jiangsu Nanj ing 210000 China 揖Abstract 铱 Obj ective 院 To explore the effect of phlegm syndrome on acute stage of hemorrhagic stroke severity and prognosis. Methods 院 926 cases of patients with acute hemorrhagic stroke were divided into the phlegm group and the nonphlegm group respectively clinically observed on the zeroth 3 rd 5 th 7 th 11 th 21 st day. The in鄄 cidence the diagnostic score of stroke disease Glasgow score 渊GCS冤 the modified RANKIN score before and after the treatment were compared. Results 院 Phlegm occupied an important position at onset as an important compo鄄 nent of stroke syndrome hemorrhage syndrome. At onset duration of zeroth eleventh twenty-first day stroke diag鄄 nostic score GCS score modified RANKIN standard scores of the phlegm group were significantly higher than those of the nonphlegm group 渊all P 0.01 冤