本文選題：缺血性中風(fēng)病恢復(fù)期 + 證候��； 參考：《遼寧中醫(yī)藥大學(xué)》2017年碩士論文

【摘要】：目的:篩選并優(yōu)化《缺血性中風(fēng)病恢復(fù)期證候診斷量表》的條目。方法:本研究基于現(xiàn)代文獻和專家經(jīng)驗選取缺血性中風(fēng)病恢復(fù)期常見證候及四診信息,形成量表條目池。利用前瞻性、多中心的臨床調(diào)查采集缺血性中風(fēng)病恢復(fù)期患者的臨床表現(xiàn),篩選并優(yōu)化缺血性中風(fēng)病恢復(fù)期證候診斷量表的條目。結(jié)果:1.氣虛證:條目:神疲、乏力、氣短、語聲低微、懶言、頭暈?zāi)垦�、面色fD白、自汗、便溏、舌質(zhì)淡、舌體胖大、舌邊有齒痕、脈細、脈沉、脈弱。參考條目:脈結(jié)、脈代、脈虛。2.血虛證:條目:心悸、多夢、手足發(fā)麻、爪甲色淡、頭暈眼花、面色淡白、面色萎黃、舌質(zhì)淡、舌邊有齒痕、脈細、脈弱、脈結(jié)、脈虛。參考條目:月經(jīng)量少、脈代。3.陽虛證:條目:畏冷、四肢不溫、口淡不渴、渴喜熱飲、自汗、小便清長、尿少浮腫、大便溏薄、面色白、舌淡胖、舌暗、苔白滑、脈沉遲、脈細、脈沉弱、脈沉細、脈沉緩、脈虛。4.陰虛證:條目:腰酸、膝軟、目澀、目眩、耳鳴、咽干、五心煩熱、兩顴潮紅、消瘦、脅痛、盜汗、小便短黃、舌質(zhì)紅、舌瘦而干、舌紅少津、苔少、脈細數(shù)、脈細、脈數(shù)。參考條目:低熱、無苔、脈虛。5.痰濕證:條目:胸脘痞悶、肥胖、頭悶痛、頭重、頭暈、口黏膩、渴不欲飲、嘔吐痰涎、納呆、便溏、痰多、身體困重、痰質(zhì)粘稠、惡心、舌質(zhì)淡、舌胖大、舌邊有齒痕、苔滑、苔膩、苔厚膩、脈滑、脈弦滑、脈濡緩。參考條目:苔滑膩。條目:面色晦暗、面色黧黑、皮膚粗糙、痛有定處、口唇青紫、肢體強硬、肢體疼痛、暗舌、舌紫暗、舌有瘀斑瘀點、舌下脈絡(luò)青紫、舌下脈絡(luò)曲張、脈澀、脈結(jié)、脈代、脈細澀。參考條目:紫舌。7.風(fēng)證:條目:頭暈?zāi)垦�、口眼歪斜、肢體震顫、肢體強直、手足麻木、頭痛、語言謇澀、偏身不遂、頸項強直、忽然昏仆,不醒人事、舌顫、舌紅、舌紅絳、苔白、脈弦、脈細、脈弦數(shù)、脈弦細。參考條目:抽搐、脈數(shù)。8.火熱證:條目:滿面通紅、目赤、口干、口渴喜冷飲、口唇焦裂、口苦、口臭、痰色黃、心煩、煩躁、小便黃赤、大便干、發(fā)熱、汗多、舌質(zhì)紅、舌質(zhì)絳、黃苔、脈數(shù)、脈弦、脈滑、脈弦數(shù)、脈滑數(shù)。參考條目:躁苔、脈洪數(shù)。6.血瘀證:結(jié)論:1.通過文獻研究、專家經(jīng)驗、臨床流行病學(xué)調(diào)查篩選出《缺血性中風(fēng)病恢復(fù)期證候診斷量表》條目,較適用于缺血性中風(fēng)病恢復(fù)期患者,臨床辨證準確,操作便捷。2.文獻研究結(jié)合專家經(jīng)驗使《缺血性中風(fēng)病恢復(fù)期證候診斷量表》條目全面、廣泛,具有專家指導(dǎo)性,保證了量表條目的獨立性和代表性。3.臨床流行病學(xué)調(diào)查保證了量表條目的客觀性,臨床操作性強,辨證便捷。4.文獻研究和臨床流行病學(xué)調(diào)查共同篩選的條目具有較重要的診斷地位。5.文獻研究、專家經(jīng)驗、流行病學(xué)調(diào)查相互結(jié)合是篩選中醫(yī)證候診斷量表條目行之有效的方法,為證候診斷量表的構(gòu)建提供參考。
[Abstract]:Objective: to select and optimize the item of Ischemic Stroke recovery Syndrome Diagnostic scale. Methods: based on the modern literature and expert experience, the common syndromes and four diagnoses of ischemic stroke in convalescence were selected to form a pool of items. A prospective, multicenter clinical survey was conducted to collect the clinical manifestations of patients with ischemic apoplexy in convalescent stage, and to select and optimize the items of the scale for diagnosis of ischemic apoplexy in convalescent stage. The result is 1: 1. Qi-deficiency syndrome: item: fatigue, shortness of breath, low voice, lazy speech, dizziness, facial color fD white, self sweat, loose stool, light tongue, big tongue body, teeth mark on tongue edge, fine pulse, deep vein, weak pulse. Reference items: pulse knot, pulse generation, pulse deficiency. 2. Blood deficiency Syndrome: items: palpitations, dreams, hand and foot tingling, paw color pale, dizziness, pale white, pale complexion, pale tongue, tongue edge teeth mark, pulse fine, weak vein, pulse knot, pulse deficiency. Reference item: less menstrual volume, pulse generation. 3. Yang deficiency Syndrome: items: fear of cold, not warm limbs, dry mouth not thirsty, thirst for hot drinks, self-sweat, urine clear long, urine less swelling, loose stool thin, pale white, tongue pale, tongue dark, white fur, pulse sink late, pulse thin, vein sink weak, pulse sink, pulse sink slowly, the tongue is thin, the tongue is dark, the fur is white, the pulse is late, the pulse is thin, the vein is weak, the vein is deep, the pulse is slow, Pulse deficiency. Yin deficiency syndrome: items: lumbar acid, soft knee, eyes acerbity, dizziness, tinnitus, dry pharynx, five upset hot, two zygomatic flashes, thin, hypochondriac pain, night sweat, short yellow urine, tongue red, tongue thin and dry, tongue red, less fur, pulse fine number, pulse fine, pulse number. Reference item: low fever, no moss, pulse deficiency. 5. Phlegm dampness syndrome: item: chest and epigastric distension, obesity, head pain, head weight, dizziness, gooey mouth, thirst and not wanting to drink, vomiting and sputum salivation, drab, loose stools, sputum, body sleepy, sputum thick, nausea, light tongue, fat tongue, teeth mark on tongue, Moss slippery, moss greasy, moss thick greasy, pulse slippery, pulse string slippery, pulse moisten slowly. Reference entry: moss greasy. Entries: dark complexion, rough skin, fixed place of pain, bluish lips, tough limbs, limb pain, dark tongue, dark tongue with stasis spots, sublingual choroid blue, sublingual choroid varicose, astringent veins, vein knot, pulse generation, The veins are thin. Reference: purple tongue. 7. Wind syndrome: items: dizziness, slanting mouth and eye, limb tremor, ankylosis, numbness of hand and foot, headache, language Jian acerbity, unfavorable side, rigidity of neck, sudden fainting servant, unconscious person, tongue tremble, red crimson tongue, white moss, pulse string, Pulse fineness, pulse string number, pulse string fineness. Reference entry: twitch, pulse number. 8. Hot heat syndrome: item: full face red, eye red, dry mouth, thirsty cold drink, mouth chaff, bitter mouth, bad breath, yellow sputum color, upset, irritable, urinal yellow red, stool dry, fever, sweat much, tongue red, tongue crimson, yellow fur, pulse number, pulse string, Pulse slip, pulse string number, pulse slip number. Reference items: grumpy moss, pulse number. 6. Blood stasis syndrome: conclusion: 1. Through literature research, expert experience and clinical epidemiological investigation, the item of the symptom Diagnostic scale of Ischemic apoplexy during recovery period was selected, which is more suitable for the patients with Ischemic apoplexy in convalescent stage. The clinical differentiation is accurate and the operation is convenient. 2. Literature research combined with expert experience made the items of the scale for diagnosis of Syndrome in convalescent stage of Ischemic Stroke to be comprehensive, extensive and expert guidance, which ensured the independence and representativeness of the items of the scale. 3. The clinical epidemiology investigation ensured the objectivity of the items of the scale, the clinical maneuverability was strong, the differentiation of symptoms and signs was convenient. 4. 4. The items screened jointly by literature research and clinical epidemiology survey have important diagnostic status. The combination of literature research, expert experience and epidemiological investigation is an effective method for screening the items of TCM Syndrome Diagnostic scale, which provides a reference for the construction of TCM Syndrome Diagnostic scale.
【學(xué)位授予單位】：遼寧中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R255.2

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