出血性中风中医辨证与颅内血肿部位及量化的相关性

【作者】 陈竹碧；

【导师】 吴永康；

【作者基本信息】 成都中医药大学 ， 中西医结合影像学， 2005， 硕士

【摘要】 目的:探讨出血性中风中医辨证与颅脑CT征象的相关性,重点研究出血性中风中医辨证与颅内血肿部位、量化间的关系,为中医临床辨证施治提供客观依据。 方法:随机纳入符合条件的出血性中风患者147例,临床医生根据患者症状进行中医辨证,放射科医生填写CT征象(颅内血肿部位、大小等),运用SPSS软件包对相关资料进行分析。 结果:基底节区、丘脑是出血性中风的好发部位。中经络证出血量少于20ml;中脏腑证出血量超过30ml,或仅超过20ml但破入脑室,或仅超过3ml但发生于脑干。中经络证与中脏腑证的出血量存在显著性差异(P<0.01)。 结论:出血性中风患者中医辨证与血肿量有密切关系,与部位无关。对出血性中风患者及时进行CT扫描有助于正确进行中医辨证施治。更多还原

【Abstract】 Objective: To evaluate the relativity between the traditional Chinese medical differentiation and the volume and location of hemorrhage for hemormagic stroke.Mathods: 1. We have prospectively registered the successive cases of hemormagic stroke who were in the emergency and neurological and surgical cerebral wands of hospital attached to Chengdu University of Traditional Chinese Medicine,tested by CT and conforming to the traditional medical clinical diagnostic criteria for hemorrhagic stroke.2.Clinical doctor gave patients differentiation. 3. Radiologic doctor measured hemorrhage volume and filled out CT signs table.4. To make statistics analysis.Results: 147 cases were admitted Cases whose hemorrhage volume was less than 20ml belong to Zhongjingluo. Cases whose hemorrhage volume was more than 30ml or more than 20ml with ventriculus blooding or more than 3ml in truncus encephalicus belong to Zhongzangfu.The volume of hemorrhage between Zhongjingluo and Zhongzangfu has prominent difference (P<0.01).Conclusion: There is relativity between the hemorrhage volume and traditional differentiation for hemorrhagic stroke.更多还原