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ID:33724274
大小:383.55 KB
页数:52页
时间:2019-02-28
《基于血脉病理论对高血压合并脑梗死病因病机证候的探讨》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、提要目的:分析高血压合并脑梗死的危险因素及其证候分布特点,以血管病变为切入点,提出“血脉病”理论,探求高血压合并脑梗死的病因病机,为临床早期干预血管危险因素、预防脑梗死提供理论基础。方法:通过临床采集高血压及高血压合并脑梗死患者的相关信息,运用统计学方法,分析两组危险因素的差异及其证候分布规律,初步探求高血压脑梗死的证候演变规律及其因果联系。结果:高龄、绝经期女性、吸烟、打鼾、嗜咸、性情急躁易怒与高血压脑梗死密切相关(P<0.05)。高血压脑梗死组颈动脉粥样硬化程度更为严重(P<0.05)。两组证候分布无显著差异(P>0.05),证候分布以阴虚阳亢证所占比例最大(47.8%),其次为肝
2、阳上亢证(27.3%)、痰湿壅盛证(19.3%)、阴阳两虚证(5.6%)。高血压脑梗死组膝软、目赤、健忘、食少、气短评分大于高血压组(P<0.05),高血压组失眠评分较高(P<0.05)。结论:血脉病变是高血压脑梗死发病的中间病理机制。火热为主要病理因素。火热灼津、灼血、灼脉,凝痰成瘀,积着人迎,脉闭不通是高血压脑梗死的基本病机。关键词高血压;脑梗死;血脉病;证候;病因病机Etiology,pathogenesisandsyndromeofhypertensioncomplicatedwithcerebralinfarctionbasedonthetheoryofhemo-vascul
3、ar-pathySpeciality::theclinicalstudyofneuro-medicaldiseaseofTCMAuthor:ChenRuTutor:prof.DingYuanqingAbstractObjective:Toanalyzeriskfactors,syndromedistributionsandcharacteristicsofhypertensioncomplicatedwithcerebralinfarction.Onthisbasis,tofurtherexploretheetiologyandpathogenesisofthediseasebased
4、onthetheoryofhemo-vascular-pathytakingthevasculardysfunctionasthebreakthroughpoint.Toprovidethetheoreticalbasisforinterveningvascularriskfactorsearlyandpreventingcerebralinfarctioneffectively.Methods:Bycollectinginformationofpatientswithsimplehypertensionandhypertensioncomplicatedwithcerebralinf
5、arction,analyzingthedifferencesbetweenthetwogroupsofriskfactorsandsyndromedistributionlawsbyusingstatisticalmethods,preliminaryexplorethesyndromeevolutivelawandthecausalrelationshipbetweenhypertensionandcerebralinfarction.Results:Olderage,menopausalwomen,smoking,snoring,eosinophilicsaltyandtempe
6、ramentirritablearecloselyrelatedtohypertensionwithcerebralinfarction(P<0.05).ThedegreeofCarotidArteryAtherosclerosisismoreseriousinhypertensionpatientscomplicatedwithcerebralinfarctionthanwithout(P<0.05).Thesyndromedistributionsbetweentwogroupsareofnosignificantdifference,showingthatyin-asthenia
7、andyang-hyperactivityoccupiesthelargestproportion(47.8%),followedbyLiverYangrising(27.3%),phlegmywetandwarmcard(19.3%)andYinandYangtwodeficiencysyndrome(5.6%).Thescoresoflegsoft,redeyes,forgetfulness,eatingless,shortnessofbr
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