中风证脉图参数变化分析

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1、中风证脉图参数变化分析【摘要】目的通过观测中风患者脉图参数变化，探讨该病证型脉象变化机理及其客观化。方法选择75例经CT明确诊断的中风住院患者，并以健康老年人20例做对照，采用ZM-III型智能脉象仪进行脉图检测并对检测结果进行统计学处理和临床分析。结果风痰瘀血痹阻脉络和痰热腑实风痰上扰两型脉图参数与对照组之间无统计学意义；而肝阳暴亢风阳上扰、气虚血瘀、阴虚风动和中脏腑四型脉图参数与对照组以及这四型之间均有特征性的变化；其中肝阳暴亢风阳上扰型以h1、h3、h4和A参数值均非常显著高于其它三型相应参数值；气虚血瘀型和阴虚风动型h3、h4和A则界于肝阳暴亢，风阳上扰型和中脏腑型之间，而h4/

2、h1值均显著高于其它两型；气虚血瘀型h5/h1值显著小于阴虚风动型的h5/h1值；中脏腑型中h1、h3、h4、h3/h1、h4/h1、A及PR均与对照组中相应的参数有明显的差异，而h3/h1值显著小于其它三型的h3/h1值。结论中风证脉图参数变化提示老年人群中风发病多见于在肝阳暴亢风阳上扰、气虚血瘀、阴虚风动和中脏腑型上，表明中风的病因病机以“虚”为主。【关键词】中风证脉图参数脉诊　　Abstract:ObjectiveTostudytheobjectivityofthepulsevariationsinthediagnosisofthissyndrome,thesignificance

3、ofthechangesofpulseogramparametertothe11clinicaltreatmentofthisdisease,therelevanceofapoplexytothecerebralCTandthephysiologicalchangesofageinthelightofpulseogram.Methods75patientswithapoplexyconfirmedbyCTwerecomparedwith20healtholdpeople.ThepulseogramofallsubjectswasexaminedbyZMIIIIntellectualPu

4、lseInstrument,andtheresultswasanalyzedbystatisticsandclinicalmethods.ResultsTherewasnostatisticalsignificanceinthepulseogramparameters(inthetypesofblockageofthecollateralsduetowindphlegmandbloodstasisaswellasretentionofphlegmheatintheFuorgansandupwarddisturbanceofwindphlegm)betweencasesandcon

5、trols;whiletherewasspecificchangesintheparametersofthetypesofacuteexuberanceofliveryang,upwarddisturbanceofwindyang,bloodstasisduetoqiasthenia,endogenouswindduetoyinastheniaandattackofvisceraaswellasthecontrolgroup;theh1,h3,h4andAparameterinthetypesofacuteexuberanceofliveryangandupwarddisturbanc

6、eofwindyangweresignificantlyhigherthanthatintheotherthreetypes;thelevelofh3,h4andAparameterinthetypesofbloodstasisduetoqiastheniaandendogenouswindduetoyinastheniawerebetweenthatofthetypesofacuteexuberanceofliveryangandupwarddisturbanceofwindyangaswellasattackof11viscera,butthevalueofh4＼h1werelo

7、werthanthatoftheothertwotypes;thevalueofh5/h1weresignificantlylowerthanthatinthetypeofendogenouswindduetoyinasthenia;changesofh1,h3,h4,h3/h1,h4/h1,AandPRinthetypeofvisceralattackandthatinthecontrolgroupweresignificantl