【摘要】：目的:通過對TIA患者舌象、脈象研究,觀察不同危險分層的TIA患者的舌象、脈象特點,對中風病的早期中醫(yī)干預創(chuàng)造條件。方法:將符合TIA診斷標準患者按照ABCD2評分量表進行評分,分為低危組和中高危組,收集兩組患者的舌象、脈象的頻數(shù)特征,觀察兩組舌象、脈象的差異性。結果:最常見的舌象為舌質(zhì)黯(45.3%),舌質(zhì)紅(40.6%),舌苔膩(37.6%),最常見的脈象為脈弦(35.3%);中高危組出現(xiàn)舌質(zhì)紅、舌質(zhì)黯、舌苔膩、舌苔黃、舌苔少或無苔的檢出率明顯高于低危組;中高危組的脈弦、脈滑、脈沉、脈浮的檢出率高于低危組,其中脈弦、脈滑、脈浮兩組間具有顯著差異。結論:TIA患者中最常出現(xiàn)的舌象、脈象為舌質(zhì)黯、紅,舌苔黃、膩,脈弦、滑,而且TIA患者中風的危險度越高則上述舌象、脈象的檢出率越高。
[Abstract]:Objective: to observe the tongue appearance and pulse characteristics of TIA patients with different risk stratification by studying the tongue picture and pulse picture of TIA patients, and to create conditions for early TCM intervention of apoplexy. Methods: the patients who met the diagnostic criteria of TIA were divided into low risk group and middle and high risk group according to the ABCD2 scale. The tongue images and pulse frequency characteristics of the two groups were collected, and the differences of tongue images and pulse images between the two groups were observed. Results: the most common tongue appearance was tongue dark (45.3%), tongue red (40.6%), tongue coating greasy (37.6%), and the most common pulse was pulse string (35.3%). The detection rate of red tongue, dark tongue, greasy tongue coating, yellow tongue coating, less or no tongue coating in the middle and high risk group was significantly higher than that in the low risk group. The detection rates of pulse string, pulse slippage, pulse subsidence and pulse floating in the middle and high risk group were higher than those in the low risk group, and there were significant differences in pulse string, pulse slippage and pulse floating between the two groups. Conclusion: the most common tongue appearance in TIA patients is dark tongue, red, yellow tongue coating, greasy pulse string and slippery tongue coating, and the higher the risk of stroke in TIA patients, the higher the detection rate of pulse image.
【作者單位】： 江西省中醫(yī)院腦病科;
【分類號】：R277.7

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