文献类型：期刊文献

中文题名：不同中医证型脑梗死恢复期患者Essen卒中风险评估及影响因素分析

英文题名：Analysis of Influencing Factors and Risk Assessment of Essen Stroke in Patients with Cerebral Infarction of Different TCM Patterns

作者：韩艳萍[1,2];刘凯[1]

第一作者：韩艳萍

机构：[1]甘肃中医药大学,甘肃兰州730020;[2]甘肃中医药大学附属医院,甘肃兰州730020

第一机构：甘肃中医药大学

年份：2023

卷号：36

期号：3

起止页码：5

中文期刊名：西部中医药

外文期刊名：Western Journal of Traditional Chinese Medicine

收录：CSTPCD

语种：中文

中文关键词：脑梗死;中医证型;Essen再发风险评估;影响因素

外文关键词：cerebral infarction;TCM patterns;Essen re-risk evaluation;influencing factors

摘要：目的:通过不同中医证型脑梗死恢复期患者Essen卒中风险评估及影响因素分析,探讨脑梗死再发风险及相关性。方法:运用Essen卒中风险评估预测模型,计算415例不同中医证型脑梗死恢复期患者再发风险的危险度。结果:415例脑梗死恢复期患者中肝阳上亢证212例,占51.08%,痰瘀互结证84例,占20.24%,气虚血瘀证76例,占18.32%,痰湿蒙窍证43例,占10.36%。肝阳上亢证组中男134例,占63.21%,女78例,占36.79%;痰瘀互结证组中男29例,占46.77%,女33例,占53.23%;气虚血瘀证组中男47例,占41.59%,女66例,占58.41%;痰湿蒙窍证组中男46例,占44.68%,女52例,占55.32%,各证型间性别比较差异无统计学意义(P>0.05)。吸烟患者101例,占24.34%,与痰瘀互结证组、气虚血瘀证组、痰湿蒙窍证组比较,肝阳上亢证组吸烟患者较多,差异有统计学意义(P<0.05)。与肝阳上亢证组、气虚血瘀证组、痰湿蒙窍证组比较,痰瘀互结证组甘油三酯较高,差异有统计学意义(P<0.05);与肝阳上亢证组、痰瘀互结证组、痰湿蒙窍证组比较,气虚血瘀证组高密度脂蛋白较低,差异有统计学意义(P<0.05)。与肝阳上亢证组、气虚血瘀证组、痰湿蒙窍证组比较,痰瘀互结证组血红蛋白、红细胞、平均红细胞体积较高,差异有统计学意义(P<0.01)。与痰瘀互结证、痰湿蒙窍证比较,肝阳上亢证、气虚血瘀证患者Essen再发风险评分较高,差异有统计学意义(P<0.01)。结论:肝阳上亢证和痰瘀互结证是脑梗死再发风险的常见中医证型,临床需关注该类人群。
Objective:To explore the risk and correlation of recurrent cerebral infarction by analyzing Essen scores and the influencing factors of convalescent patients of cerebral infarction with different TCM syndromes.Methods:Recurrence risk of Essen stroke risk scale was applied to predict the models,to calculate the risk of Essen recurrence in 415 convalescent patients of cerebral infarction with different TCM syndromes.Results:Among 415 convalescent patients of cerebral infarction,there are 212 cases of hyperactivity of liver-Yang,holding 51.08%,84 cases of phlegm and blood stasis,accounting for 20.24%,76 cases of Qi deficiency and blood stasis,occupying 18.32%,43 cases of phlegm dampness obscuring the orifices and 10.36%.The comparison of gender between different patterns show no statistical meaning(P>0.05),134 male patients of hyperactivity of liver-Yang,taking up 63.21%,78 female patients and 36.79%;29 male ones of phlegm and blood stasis and 46.77%,33 female ones and 53.23%;47 male ones of Qi deficiency and blood stasis and 41.59%,66 female ones and 58.41%;46 male ones of phlegm dampness obscuring the orifices and 44.68%,52 female ones and 55.32%,the difference had no statistical meaning in gender between different patterns(P>0.05).There are 101 smoking patients,seizing 24.34%,more smoking patients are found with the pattern of hyperactivity of liver-Yang when compared with the groups of phlegm and blood stasis pattern,Qi deficiency and blood stasis pattern and phlegm dampness obscuring the orifices pattern,and the difference showed statistical meaning(P<0.05).When compared with the groups of the pattern of hyperactivity of liver-Yang,Qi deficiency and blood stasis pattern and phlegm dampness obscuring the orifices pattern,higher level of triglyceride are seen with the pattern of phlegm and blood stasis,and the difference showed statistical meaning(P<0.05);when compared with the groups of the pattern of hyperactivity of liver-Yang,the pattern of phlegm and blood stasis and phlegm dampness obscuring the orifices pattern,lower level of HDL is found in the group of Qi deficiency and blood stasis pattern,and the difference had statistical meaning(P<0.05).When compared with the groups of the pattern of hyperactivity of liver-Yang,Qi deficiency and blood stasis pattern and phlegm dampness obscuring the orifices pattern,the group of the pattern of phlegm and blood stasis presented higher levels of HB,RBC and MCV,and the difference was statistically significant(P<0.01).When compared with the patterns of phlegm and blood stasis and phlegm dampness obscuring the orifices,the patients of the pattern of hyperactivity of liver-Yang and Qi deficiency and blood stasis pattern have higher scores of Essen re-risk,and the difference showed statistical meaning(P<0.01).Conclusion:The patterns of hyperactivity of liver-Yang,phlegm and blood stasis are the common TCM patterns of cerebral infarction recurrence risk,we need to pay attention to such people in clinic usually.