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1、提要目的：探讨绝经女性CAS的病机与证候分布，做好绝经女性CAS的诊疗及预防工作，发挥中医药的优势，为更好地预防中风病进行探索。方法：采集临床绝经女性CAS患者的相关信息，运用统计学方法对患者的症状、病史及相关资料进行分析，筛选绝经女性CAS的危险因素，初步总结绝经女性CAS的病机及证候分布规律。结果：①增龄、雌激素缺乏、鼾眠、嗜咸、辛辣、被动吸烟、超重、腹型肥胖、高血压病史、高脂血症病史是绝经女性CAS主要的危险因素；②绝经女性组与正常生育期女性组在雌激素水平、打鼾程度、肥胖、高血压、高血脂、颈动脉粥样硬化程度方面具有显著差异；③证候分布在绝经早期以火热证居多，随着绝经年限的延长，雌激
2、素水平降低，肝肾阴虚证的程度愈甚。结论：提出“脏腑虚损，天癸告竭，肝肾亏虚，阴阳失调，痰火瘀浊湿邪，结于人迎脉，形成人迎脉积”的绝经女性颈动脉粥样硬化症病机理论。绝经女性CAS的证候分布以火热证及肝肾阴虚证居多，在绝经早期以火热证为主，痰瘀是兼夹邪气。随着绝经年限的延长，雌激素水平的下降，火热证的程度降低，肝肾阴虚证的程度愈甚。关键词绝经女性；颈动脉粥样硬化；肝肾阴虚；火热；临床调研PathogenesisexploringandClinicalstudyonsyndromeofCarotidarteryatherosclerosis(CAS)inmenopausalwomenSpeci
3、alty:thestudyofneuro-medicaldiseaseclinicalofTCMAuthor:ChenYanTutor:Prof.DINGYuanqingAbstractPurpose:ThispaperisdesignedtoexplorethepathogenesisandthedistributionruleofsyndromeofCASinmenopausalwomen.Inaddition,itisintendedtoperfectthedia-gnosis,therapyandpreventionofCASinmenopausalwomen,aimingtop
4、laytheadvant-ageofTraditionalChineseMedicineandexplorethepreventionofstoke.Methods:AfterclinicallyacquiringtheinformationofthemenopausalwomenpatientswithCAS,weanalyzethepatient'ssymptoms,medicalhistoryandrelateddatabystatisticalmethods,filtertheriskfactorsofCAS,andpreliminarilysummarythepathogene
5、sisandthedistributionruleofsyndromeofCASinmenopausalwomen.Results：(1)TheriskfactorsofCAS,suchasage,deficiencyofestrogen,snoringsleep,salty,spice,passivesmoking,obesity,historyofhypertension,historyofhyperlipidemiaaremaininmenopausalwomen.(2)Thereisaremarkabledifferenceintermsofthelevelofestrogen,
6、snoringsleep,obesity,hypertension,hyperlipidemiaandCASbetweenmenopausalwomenandfertilityperiodwomen.(3)Intheearlystageofmenopause,heat-syndromeisdominant.Withtheprolongingofmenopauseyear,thelevelofestrogenreduces,andyindeficiencyofliverandkidneyismoresignificant.Conclusions:ThepathogenesisofCASin
7、menopausalwomencanbesummarizedasdeficiencyofzang-fuorgansandinsufficiencyofkidneyandliver,thedisharmonybetweenyinandyang,plengh-heat,stasisandpathogenicdampness,formingrenyingpulseaccumulation.Intermsofthedistributiono
