【作者】 王伟；

【导师】 刘文亚；

【作者基本信息】 新疆医科大学 ， 影像医学， 2006， 硕士

【摘要】 目的：探讨我区汉族与维吾尔族中风患者的辨证分型与脑CT表现关系的差异性，旨在用脑CT检查的客观指标来指导中风病中医辨证分型、揭示其科学性。方法：临床诊为中风病的378例患者全部行CT扫描，其中男性225例，女性153例，汉族274例、维吾尔族104例，探讨不同年龄组、不同族别的脑CT表现与辨证分型的关系，并进行相应的统计学分析。结果：中风病病变部位主要为基底节区；中经络证与中脏腑证在病变部位上不同，中经络证以基底节区为主，而中脏腑证则以基底节区、脑叶为主；中经络证与中脏腑证在病变性质、病灶大小上亦有差异。中经络证Ⅰ型与Ⅱ型患者发生脑出血或脑梗塞的机率相当，二者均以小病灶为主。中脏腑证病变以脑出血、大病灶为主，中脏腑脱证者脑出血、大病灶发生率高于闭证患者。中经络证CT表现以脑梗塞为主，对脑干、丘脑无影响或影响小，病损较浅表；中脏腑证CT表现以脑出血为主，多直接或间接地影响丘脑、脑干结构，病损位置深。汉、维吾尔族中风病患者CT表现相比较，中经络证者中汉族患者脑梗塞的发生率高于维吾尔族，二者差异有统计学意义(P＜0.05)：汉、维中脏腑证患者CT表现均以脑出血为主，两者差异无统计学意义(P＞0.05)。结论：对于临床辨证为中风病者，需做CT检查协助诊断，明确病变性质、部位及病变大小情况，从而指导临床治疗。CT是中风病的重要检查方法，对鉴别病变性质、部位、病灶大小等具有重要意义，并对临床辨证提供有力的参考依据。更多还原

【Abstract】 Objective: To investigate the correlation between differential diagnosis and CT images of stroke patients among the Han nationality and the Weiwur nationality patients in Xin Jiang. And to analyze the cerebrocranial CT images of stroke so as to guide the clinical treatment and to illustrate the sense of traditional Chinese medicine (TCM). Methods: CT scan were performed in 378 cases with stroke, including 225 male and 153 female, 274 the Han and 104 the Weiwur nationality patients. Statistical analysis had been done for evaluation the correlation between the cerebral CT manifestations and differ types of stroke within every age group、 different nationalities and syndromes. Results: compared with Zhong zang fu (ZZF 中脏腑), the CT findings of Zhong jing luo (ZJL 中经络) were significant differences with prevalently occurred in basalganglion area while ZZF more commonly took place both in basalganglion area and subcorticalarea of hemisphere. The patients with ZJL I and II types were susceptible to cerebral infarction with majority of small lesions. The patients with ZZF mainly presented cerebral haemorrhage with big volume. Compared with Zhong zang fu bi type (中脏腑闭证), Zhong zang fu tuo type (中脏腑脱证) were more easily involed in which tend to be in cerebral hemorrhage with big更多还原