北京中医药大学学报2012，Vol.35Issue(7)：490-493,4.
糖尿病脑卒中与非糖尿病脑卒中的中医证候特点对照研究
Control study on TCM syndrome characteristics between diabetic stroke and non-diabetic stroke
摘要
Abstract
Objective To discuss the evolvement rule of TCM syndrome characteristics of diabetic stroke from acute stage to early recovery stage, and supply theoretical evidences for the syndrome differentiation and treatment of stoke. Methods The patients (n - 156) with stroke attacked within 7 days were divided into diabetes group and non-diabetes group according to accepted diagnosis standard for diabetes. Standards of Syndrome-differentiated Diagnosis of Apoplexy (1994) was used for scoring syndrome factors. The frequency distribution and score evolvement rule of TCM syndrome factors were discussed in two groups in the day of hospitalization, and on the 7th day, 14th day and 28 day after stroke attacking. Results In the day of hospitalization, wind syndrome, fire-heat syndrome and phlegm syndrome had a higher frequency. The score changes of syndrome factors of wind syndrome had significant difference between diabetes group and non-diabetes group at different time points (P <0. 05 ). On the 7th day, the frequency of yin deficiency with yang hyperactivity syndrome increased in diabetes group. On the 28 day, the scores of yin deficiency with yang hyperactivity syndrome had significant difference between two groups (P < 0. 01) , and the frequency distribution of yin deficiency with yang hyperactivity syndrome had significant difference between two groups at different time points (P <0. 05). Conclusion At the early stage of diabetic stroke, the TCM syndrome characteristics are influenced much less by the pathogenesis of wasting-thirst and the characteristics are mainly confined in stroke itself. The characteristics of wasting-thirst become apparent at later stage along with the prominent yin deficiency with yang hyperactivity syndrome, and the syndrome of deficiency of the root and excess of the tip appears with yin deficiency as the root and phlegm and heat as the tip.关键词
糖尿病/脑卒中/证候特点Key words
diabetes/ stroke/ TCM syndrome characteristics分类
医药卫生引用本文复制引用
陈路,陈志刚,占戈..糖尿病脑卒中与非糖尿病脑卒中的中医证候特点对照研究[J].北京中医药大学学报,2012,35(7):490-493,4.基金项目
首都医学科技发展基金项目(No.SF2007-I-03) （No.SF2007-I-03）
