【摘要】 目的:探讨椎基底动脉供血不足性眩晕证素的分布与组合规律,指导中医临床辨证。方法:根据流行病学调查要求,制定《椎基底动脉供血不足临床调查表》,收集眩晕症患者的临床资料,并建立证素研究数据库,采用证素辨证方法,结合中医症状分级标准,对入选者进行量化积分,通过统计学分析,探讨各证素类型的分布规律。结果:病性证素频率依次为阴虚(24.8%)、血瘀(18.0%)、痰浊(16.5%)、血虚(10.5%)、风(6.8%)、阳亢(5.3%)等;病位因素依次为肾(45.9%)、脾(21.4%)、肝(19.3%)、胆(7.1%)。椎基底动脉供血不足性眩晕证素的组合形式有4种,主要集中在两证素和三证素组合,两者累计构成比为90.9%。结论:椎基底动脉供血不足性眩晕症的病性证素以阴虚、血瘀、痰浊、血虚、气虚为主;证素组合情况以2个证素组合最常见。更多还原

【Abstract】 Objective:To investigate the distribution and combination of syndromes in vertebrobasilar insufficiency vertigo,and to guide TCM differentiation. Methods:According to the epidemiological survey,the clinical data of vertebrobasilar insufficiency was collected. The database of syndrome research was established. By classification and quantitative integration,the distribution of each type was discussed. Results:The frequency of symptoms and signs were Yinxu(24.8%),Xueyu(18.0%),Tanzhuo(16.5%),Xuexu(10.5%),Feng(6.8%) and Yangkang(5.3%). The location of diseases were renal(45.9%),spleen(21.4%),liver(19.3%),gall bladder(7.1%). There are 4 forms of vertebrobasilar insufficiency vertigo,included the combination of two factors and three factors,accounting for 90.9%. Conclusion:The syndromes of deficiency of vertebrobasilar insufficiency vertigo mainly composed of Yinxu,Xueyu,Tanzhu,Xuexu,Qixu. The combination of two factors is the most common.更多还原