| 引用本文:张冠壮，黄宏敏，许玉皎，陈琪，赵光峰，王家艳，刘卫花，刘德浪.海南地区缺血性中风病急性期证候的演变规律[J].世界中医药,2017,(11):. |
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| 海南地区缺血性中风病急性期证候的演变规律 |
| Syndrome Evolvement of Acute Ischemic Apoplexy in Hainan Province |
| 投稿时间：2017-01-09 |
| DOI：10.3969/j.issn.1673-7202.2017.11.068 |
| 中文关键词: 海南地区 缺血性中风 证候 演变规律 急性期 |
| English Keywords:Hainan Ischemic stroke Syndrome evolvement Acute phase |
| 基金项目:海南省自然科学基金课题（20158372） |
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| 中文摘要: |
| 目的:探讨海南地区缺血性中风病患者急性期证候的演变规律。方法:采用前瞻性的临床调查的方法，选取2015年01月至2016年12月琼中县（中部）、琼海市（东部）、儋州市（西部）、乐东县（南部）中医院近年来神经内科缺血性中风病急性期住院病例，72 h内入院并自入院当天至发病14 d的300例患者作为研究对象，进行证候演变模式的分析研究，参照《缺血性中风病辨证诊断标准》，按照住院后1 d、14 d动态采集临床信息，研究海南地区缺血性中风病急性期的证候演变规律。结果:海南地区缺血性中风病急性期风证78例、火热证26例、痰证56例、血瘀证70例、气虚证47例、阴虚阳亢证23例。其中急性期以风证、血瘀证、痰湿证、气虚证最多，组合则以两证、三证组合最为多见。结论:海南地区缺血性中风病急性期患者证候存在单证为主的趋势，两证、三证组合多见，证候表现为“火热”少，“痰湿”“气虚”多的特点，证候体现了中风病传统病机，可以使复杂证候简单化，可以灵活准确反映证候的动态、复杂、多变的特性，为证候的规范化和辨证的灵活性之间构筑一定的联系。 |
| English Summary: |
| To study the regularity of syndromes in ischemic stroke patients in the acute period in Hainan province.Methods:Prospective clinical investigation was used.Acute ischemic stroke patients of Qiongzhong (Central),Qionghai(East),Danzhou (West) and Ledong (Southern) area in recent years hospitalized in the Hainan traditional Chinese medicine hospital were chosen.In total,300 patients who were admitted into hospital within 72 hours from disease were chosen.According to the diagnostic criteria of syndrome differentiation of ischemic stroke,clinical information was taken for dynamic collection on the first and 14th day of hospitalization in order to study syndrome changes of acute phase of ischemic stroke in Hainan.Results:There were 78 cases of acute ischemic stroke,with 26 cases of fire syndrome,56 cases of phlegm syndrome,70 cases of blood stasis syndrome,47 cases of qi deficiency syndrome and 23 cases of yin deficiency and yang hyperactivity syndrome.Among them,in the acute stage,most patients were mainly of wind syndrome,blood stasis syndrome,phlegm dampness syndrome and qi deficiency syndrome,and the combination of two syndromes or three syndromes.Conclusion:Mono-syndrome of ischemic apoplexy patients in Hainan province are predominant in the acute phase of syndromes,followed by combination of two syndromes or three syndromes.Heat syndrome are not common to see,while phlegm and qi-deficiency syndrome are quite common.It reflects the pathogenesis of stroke,which can simplify the complex syndromes.Furthermore,it can lay foundation for syndrome standardization and syndrome differentiation. |
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