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脑卒中风痰瘀阻证与季节气候关联性临床研究

发表时间:2009-12-15  浏览量:1501  下载量:535
全部作者: 张良登,何庆勇,张吉
作者单位: 北京中医药大学针灸学院;中国中医科学院广安门医院心内科
摘 要: 目的:采用北京地区双月值(六步)气候划分法探讨脑卒中风痰瘀阻证与季节气候关联性。方法:将305例脑卒中风痰瘀阻证患者的中医临床资料按六步法进行分类并经统计学处理,分析其发病六气(六季)、性别、时间、月份、年龄与脑卒中风痰瘀阻证的关系。结果:脑卒中风痰瘀阻证在寒冷季发生的可能性最大,其中脑梗死与脑出血风痰瘀阻证在寒冷季发生的可能性最大,其他脑卒中(蛛网膜下腔出血、不明原因等)风痰瘀阻证在风季发生的可能性最大;发生脑卒中风痰瘀阻证的患者中男性多于女性;各年龄阶段中,老年人(尤其在66~76岁)发生脑卒中风痰瘀阻证的概率最大。结论:由于机体正气不足,六气异常转变为六淫,六淫之寒邪挟风邪,致痰致瘀,痹阻脑络,导致脑卒中风痰瘀阻证形成,是北京地区寒冷季脑卒中(脑梗死、脑出血)风痰瘀阻证高发的主要发病机制之一。
关 键 词: 中医内科学;脑卒中;风痰瘀阻证;季节气候;关联性
Title: Clinical study of relevance of stroke syndrome of wind phlegm with blood stasis and seasonal changes of weather
Author: ZHANG Liangdeng, HE Qingyong, ZHANG Ji
Organization: School of Acupuncture and Moxibustion, Beijing University of Chinese Medicine;Department of Cardiology, Guang�anmen Hospital, China Academy of Chinese Medical Sciences
Abstract: Objective: To study the relevance of stroke syndrome of wind phlegm with blood stasis and seasonal changes of weather by the average bimonthly clinical data (six steps) in Beijing area. Methods: 305 cases of stroke syndrome of wind phlegm with blood stasis were classified by six steps, and were analyzed in the relevance of six qi (six climatic factors), gender, time, month, age and stroke syndrome of wind phlegm with blood stasis. Results: Stroke syndrome of wind phlegm with blood stasis is most likely to occur in the cold seasons, especially cerebral infarction and cerebral hemorrhage, while other strokes (subarachnoid hemorrhage, unexplained stroke, etc.) were most likely to occur in the wind seasons; there were more male patients than female; and the older age groups particularly those 66~76 years old occurred stroke syndrome of wind phlegm with blood stasis at greatest probability. Conclusion: Due to lack of body vital qi, six qi becomes evils. Cold evil taking with wind evil causes phlegm and blood stasis, blocks brain meridians and collaterals, thus occurs stroke syndrome of wind phlegm with blood stasis, which is one of main pathogenesis of stroke syndrome of wind phlegm with blood stasis which is at high incidence in cold season in Beijing area.
Key words: internal Chinese medicine science; stroke; syndrome of wind phlegm with blood stasis; seasonal changes of weather; relevance
发表期数: 2009年12月第23期
引用格式: 张良登,何庆勇,张吉. 脑卒中风痰瘀阻证与季节气候关联性临床研究[J]. 中国科技论文在线精品论文,2009,2(23):2496-2500.
 
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