世界中医药

目的:探讨缺血性脑卒中患者复发与其中医体质的相关性。方法:随机选取2013年1月至2015年12月湖南中医药大学第一附属医院收治的急性缺血性脑卒中患者120例,根据Essen卒中风险评分(ESRS),随机分为高危组(n=60)和低危组(n=60)。其中高危组患者ESRS≥3分,低危组患者ESRS<3分。采用王琦的“中医体质量表”对所有入选患者进行体质测评,并使用统计推断分析以及统计描述。结果:脑卒中复发高危组与低危组患者的中医体质构成经比较,差异有统计学意义(P<0.05)。与低危组比较,脑卒中复发高危组患者的阴虚质显著升高,而平和质则明显降低,经比较差异均有统计学意义(均P<0.05)。结论:在中医阴虚质体质比例方面,脑卒中复发高危组患者明显高于低危组患者;而在中医平和质体质比例方面,高危组患者则明显低于低危组患者。

English Summary:

To explore the correlation between the recurrence of ischemic stroke and Chinese medicine constitution in patients with ischemic stroke. Methods:A total of 120 patients with acute ischemic stroke treated in our hospital from January 2013 to December 2015 were selected randomly and divided into a high-risk group (n=60) and a low-risk group (n=60) according to the Essen stroke risk score (ESRS). Those whose ESRS was lower than 3 points were placed in the low-risk group, while all other in the high-risk group. All the selected patients were assessed by Wang Qi's Chinese Body Weight Scale and the results were analyzed using statistical inference analysis and statistical description. Results:There was significant difference in the constitution of Chinese medicine constitution between the high-risk group and the low-risk group (P<0.05). Compared with that of the low-risk group, the yin deficiency of the high-risk group was significant higher, while the mild constitution was significantly reduced (P<0.05). Conclusion:The proportion of yin deficiency of Chinese medicine constitution in the high-risk group was significantly higher than that of the low-risk group, but the proportion of the mild type of Chinese medicine physique constitution in the high-risk group was significantly lower than that of the low-risk group.

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