| 引用本文:张鹤1，张志辰2，贾鸿雁3，吴浩3，李爱辉4，张永顺4，张允岭2.既往脑梗死人群生活方式、用药情况及中医证候要素分析[J].世界中医药,2016,(01):. |
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| 既往脑梗死人群生活方式、用药情况及中医证候要素分析 |
| Research on the Lifestyles, Medication and TCM syndromes of Cerebral Infarction Patients |
| 投稿时间：2015-12-28 |
| DOI：10.3969/j.issn.1673-7202.2016.01.006 |
| 中文关键词: 脑梗死 生活方式 用药情况 中医 证候要素 |
| English Keywords:Cerebral Infarction Medication Lifestyle Traditional Chinese Medicine Syndrome factors |
| 基金项目:2011年医改重大专项“国家脑卒中高危人群筛查与干预试点项目”；北京中医药大学研究创新团队项目（编号:2011 CXTD 23）；2011年北京市科技计划项目（编号:Z111107056811040） |
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| 中文摘要: |
| 目的：分析既往脑梗死人群的生活方式及用药情况，探讨其中医证候特点，为脑梗死的防治提供依据。方法：采用临床横断面流行病学调查研究的方法，于2012年12月至2013年12月在北京市丰台区方庄、花乡社会卫生服务中心收集既往脑梗死含短暂性脑缺血发作患者447例，记录其人口学特征、生活方式、用药情况及中医证候量表。结果：目前仍在吸烟男性占46.71%，女性占7.46%，经常饮酒的男性占28.95%，女性占2.71%，仍在吸烟、经常饮酒的男性数量明显大于女性（P<0.01）；口味偏油的男性占17.11%，女性占9.15%，男性数量明显大于女性（P<0.05）；常喝牛奶或酸奶的男性占29.61%，女性占43.39%，男性数量明显小于女性（P<0.01）；筛查人群合并高血压病的人群占72.71%，合并血脂异常的男性占54.61%，女性占68.81%，男性数量明显小于女性（P<0.01），合并糖尿病的人群占31.54%；服用降压药人群与患高血压病的人群比率为85.85%，服用降脂药人群与患血脂异常的人群比率为40.56%，服用降糖药人群与患糖尿病的人群比率为84.40%；既往脑梗死人群中医证候要素分布情况：痰湿70.25%，气虚39.82%，阴虚21.25%，内火15.21%，内风8.95%，血瘀6.71%。结论：既往脑梗死人群生活方式、用药情况需要改进，存在药物使用不合理的现象。 |
| English Summary: |
| To observe the lifestyle, medication and Traditional Chinese Medicine(TCM) of patients with cerebral infarction; thus to provide reference for future prevention and treatment. Methods:A total of 447 patients with cerebral infarction were recruited from Fangzhuang and Huaxiang communities between December 2012 and December 2013. The demographic characteristics, lifestyle, mediation and TCM symptoms of these patients were obtained. Results:The rate of male smoking is 46.71% and female 7.46%. The rate of male drinking frequency is 28.95% and female 2.71%. The percentage of male smoking and drinking frequency are higher than female(P<0.01). The rate of taking greasy food for male is 17.11% and female 9.15%(P<0.05). The rate of taking milk or yogurt for male is 29.61% and female 43.39%, and the difference is significant(P<0.05). There are 72.71% of patients who also have hypertension, among them, the proportion of male with dyslipidemia is 54.61% and female 68.81%, and the difference between male and female are statistically different(P<0.05). Patients with diabetes take the proportion of 31.54%. Hypertension patients who took medication is 85.85%, and the rate who took antilipemic medicine is 40.56% and those took antidiabetic agents is 84.40%. TCM syndrome distribution are: phlegm 70.25%, qi deficiency 39.82%, yin deficiency 21.25%, fire stasis 15.21%, wind stasis 8.95%, and blood stagnation 6.71%. Conclusion:The lifestyles of patients with cerebral Infarction should be improved. Besides, drug abuse still existed among the patients, so medication situation should be improved. |
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