【摘要】：目的:探討TIA患者的中醫(yī)體質(zhì)分布規(guī)律,并分析不同體質(zhì)的TIA對(duì)后繼發(fā)生腦梗死的臨床預(yù)后影響,為基于體質(zhì)理論的中風(fēng)預(yù)防提供理論基礎(chǔ)。方法:采用流行病學(xué)方法,在山東省中西醫(yī)結(jié)合醫(yī)院神經(jīng)內(nèi)科門診及病房調(diào)查TIA患者,采用ABCD2評(píng)分計(jì)算ABCD2評(píng)分≥4分者,填寫TIA患者調(diào)查表。納入符合標(biāo)準(zhǔn)的126例TIA后1周內(nèi)發(fā)生腦梗死的患者,根據(jù)中華中醫(yī)藥學(xué)會(huì)頒布的《中醫(yī)體質(zhì)分類與判定表(ZYYXH/T157-2009)》,對(duì)患者進(jìn)行體質(zhì)判定,總結(jié)TIA患者的中醫(yī)體質(zhì)分布規(guī)律。并比較不同體質(zhì)的患者第7天的NIHSS評(píng)分、Barthel指數(shù)評(píng)分和中醫(yī)證候積分,觀察不同體質(zhì)的TIA發(fā)作對(duì)后繼腦梗死臨床預(yù)后的影響。結(jié)果:1.TIA患者的中醫(yī)體質(zhì)分布概率以痰濕質(zhì)(28.57%)為最多,其次為氣虛質(zhì)(23.02%)、平和質(zhì)(16.67%)、陰虛質(zhì)(11.90%)、瘀血質(zhì)(6.35%)、濕熱質(zhì)(5.56%)、陽(yáng)虛質(zhì)(4.76%)、氣郁質(zhì)(2.38%)及特稟質(zhì)(0.79%)。2.分別比較不同體質(zhì)的TIA患者后繼發(fā)生腦梗死后7天的NIHSS評(píng)分、中醫(yī)證候積分、Barthel指數(shù)評(píng)分,各組間均有差別,差距具有統(tǒng)計(jì)學(xué)意義(P0.01),其NIHSS評(píng)分和中醫(yī)證候積分均以痰濕質(zhì)最高,平和質(zhì)最低,Barthel指數(shù)評(píng)分以平和質(zhì)最高,痰濕質(zhì)最低。結(jié)論:1.痰濕質(zhì)和氣虛質(zhì)為TIA患者的常見體質(zhì)類型。2.不同體質(zhì)的TIA對(duì)后繼腦梗死的預(yù)后有明顯的影響,體質(zhì)類型決定疾病的進(jìn)展及演變。3.不同體質(zhì)的TIA后繼發(fā)生腦梗死的神經(jīng)功能缺損程度以痰濕質(zhì)最高,平和質(zhì)最低。
[Abstract]:Objective: to investigate the distribution of TCM constitution in patients with TIA, and analyze the influence of different constitution TIA on the clinical prognosis of subsequent cerebral infarction, and provide a theoretical basis for the prevention of stroke based on physical fitness theory. Methods: the patients with TIA were investigated in the outpatient and ward of Department of Neurology, Shandong Integrated Chinese and Western Medicine Hospital by epidemiological method. The patients with ABCD2 score 鈮，

本文編號(hào)：2291508