摘要
Abstract
BACKGROUND:It belongs to one of contents of integrated traditional and western medicine in imaging to study the relationship of CT to traditional Chinese medical differentiation of syndromes and disease for vascular dementia(VD),which is a marginal subject of intersection between modern medical imaging and traditional Chinese medicine(TCM).At present, however,the study about it is still rare. OBJECTIVE:To study the relationship of CT to TCM differentiation of syndromes and diseases in order to evaluate the role of CT in TCM differentiation of syndromes and disease in VD. DESIGN:Traverse-sectional study based on diagnosis. SETTING and PARTICIPANTS:Thirty VD patients were recruited randomly from the Department of Neurology of PLA 252 Hospital between January 2001 and September 2002,including male 18 and female 12 with the mean age of(68.1± 7.8) years. INTERVENTIONS:All the VD patients' TCM differentiations of syndromes and diseases and CT features were compared before clinical treatment. MAIN OUTCOME MEASURES: The CT features of the 4 types of TCM differentiations of syndromes of VD were observed,namely,Nephrasthenia and essence feficiency(NED),cardiosplenic asthenia(CA),phlegm stasis stagnating orifice(PSSO) and blood stasis stagnating orifice(BSSO). RESULTS: BSSO was the most common in the 4 types of TCM differentiations.Multiple infarcts were the most common feature in CT findings in VD.There was no statistical difference of CT findings appeared in each of the TCM differentiations(χ 2=10.353, P=0.323) as well as between TCM differentiations of syndromes and diseases(χ 2=9.931, P=0.356) . There was no statistical difference between the encephalatrophy and the two CT findings of symmetric periventricular patchy hypoattenuation and subarachnoid hyperattenuation(χ 2=3.354, P=0.067) , but statistical difference between the multiple infarction and the two latter was found(χ 2=5.445, P=0.020) . CONCLUSION: The main CT feature of VD is multiple infarctions in all the TCM differentiations.There was no statistical difference of CT findings appeared among the TCM differentiations.CT played an important part in disease differentiation.关键词
痴呆,血管性/体层摄影术,X线计算机/辨证分型分类
医药卫生
