慢性脑缺血颈动脉内膜厚度与中医证候相关性的临床研究中医内科学专业毕业论文.docxVIP

证、气血亏虚证。而不同中医证候组在颈动脉 TC、HDL 上的差异无统计 学意义（p0.05） 结 论 ：颈动脉内膜厚度异常变化与慢性脑缺血中医证候中的气虚血瘀 证关系较大；气虚血瘀证的 TG、LDL 显著高于肝肾阴虚证、风阳上扰证、 气血亏虚证；在心脑血管疾病，高血压组和冠心病组都是气虚血瘀证所 占比例最高，而糖尿病组肝肾阴虚证所占比例最高。提示慢性脑缺血患 者颈动脉内膜厚度异常具有一定的中医证型特异性，对今后的防治具有 一定的指导意义。 关键词：颈动脉内膜厚度；慢性脑缺血；中医证侯；相关因素 Chronic ischemic carotid intimate-media thickness associated with Syndrome Clinical Study ABSTRACT Objective: Method of color Doppler ultrasound in patients with chronic cerebral ischemia in carotid artery intimate-media thickness and plaque and the relationship between TCM syndrome. Methods: Meet the test requirements to collect the 150 cases of hospitalized patients with chronic cerebral ischemia, all patients from the First Affiliated Hospital of Guangxi Medical College outpatient and inpatient neurology, use of color Doppler ultrasound , carotid intimate-media thickness and plaque measurement, comparison and for lipid analysis. Evidence from the Chinese start to syndrome differentiation and treatment guided by the principle, combined with blood deficiency syndrome, Qi, phlegm on the Mongolian card, liver kidney yin, yang, on the wind disturbance permit five syndromes, on carotid intimate Abnormal changes in the thickness and characteristics of TCM-related analysis, concluded its distribution . Results: 150 cases detected by color Doppler ultrasound in patients with chronic cerebral ischemia carotid artery intimate-media thickness of male and female patients compared to age differences between the two groups was not statistically significant (p 0.05); but the two groups in the neck artery IMT difference was statistically significant (p 0.05), male patients with carotid artery IMT was significantly higher than women; chronic cerebral ischemia based on carotid artery disease, IMT, carotid artery IMT compared rates suggested that different underlying diseases of hypertension group, CHD, diabetes group three groups in the carotid IMT, carotid artery IMT were abnormal rate differences were statistically significant (p 0.