四川中医2023，Vol.41Issue(10)：88-91,4.
偏头痛患者中医证型分布及其与cTCD下右向左分流级别的关系分析
Distribution of TCM syndromes and their relationship with grading of right-to-left shunt under cTCD in migraine patients
摘要
Abstract
Objective:To explore the distribution of TCM syndromes and their relationship with grading of right-to-left shunt(RLS)under contrast-enhanced transcranial Doppler(cTCD)in migraine patients.Methods:A total of 105 patients with migraine admitted to the hospital were retrospectively enrolled as the research objects between October 2020 and May 2022.Ac-cording to TCM syndromes,they were divided into liver-yang hyperactivity group(n=34),kidney-deficiency headache group(n=27),qi-blood deficiency group(n=23)and phlegm-turbid headache group(n=21).The distribution of TCM constitutions in patients with different syndromes was analyzed.All underwent cTCD examination to observe positive detection rate,classifica-tions and grading of RLS in migraine patients with different syndromes.Results:In the 105 migraine patients,proportion of yin deficiency constitution was the highest(35.24％),followed by qi deficiency constitution(21.90％),qi stagnation constitution(11.43％),congestion constitution(0.95％)and idiosyncratic constitution(0.95％).In liver-yang hyperactivity group,main types of constitution were yin deficiency constitution and qi stagnation constitution.In kidney-deficiency headache group,main types of constitution were yin deficiency constitution and yang deficiency constitution.In qi-blood deficiency group,main constitution type was qi deficiency constitution.In phlegm-turbid headache group,main constitution types were damp-heat consti-tution and phlegm-dampness constitution.The positive rate of RLS in the 105 migraine patients was 67.62％(71/105),inclu-ding 53.52％with intrinsic type and 46.48％with latent type.There were 22 cases at grade Ⅰ(30.98％),14 cases at grade Ⅱ(19.72％)and 35 cases at grade Ⅲ(49.30％).There was no significant difference in RLS classifications among migraine pa-tients with different TCM syndromes(P＞0.05),but there were significant differences in positive detection rate and grading of RLS(P＜0.05).The positive detection rates in liver-yang hyperactivity group and phlegm-turbid headache group were the high-est(82.35％,80.95％).The main RLS grading was grade Ⅲ in liver-yang hyperactivity group and phlegm-turbid headache group,while which was grade Ⅰ in kidney-deficiency headache group and qi-blood deficiency group.Conclusion:The different TCM syndromes have certain relationship with the grading of RLS under cTCD in migraine patients.The main syndromes are kid-ney-deficiency headache syndrome and qi-blood deficiency syndrome in patients at grade Ⅰ,while main syndromes are liver-yang hyperactivity syndrome and phlegm-turbid headache syndrome in patients at grade Ⅲ.关键词
偏头痛/中医证型/对比增强经颅多普勒超声/右向左分流/分级Key words
Migraine/TCM syndrome/Contrast-enhanced transcranial Doppler ultrasound/Right-to-left shunt/Grading分类
医药卫生引用本文复制引用
乔缘,韩芸,李敬茹,邵宪瓶,韩宝华..偏头痛患者中医证型分布及其与cTCD下右向左分流级别的关系分析[J].四川中医,2023,41(10):88-91,4.基金项目
河北省卫生健康委科研基金项目(编号:20220030) （编号:20220030）
