摘要
目的：通过３４２例中风患者的临床中医辨证分型与颅脑ＣＴ检查结果对照，探讨颅脑ＣＴ检查结果与中医辨证分型的关系。方法：对３４２例中风患者进行中医辨证分型，中经络者２０４例，中脏腑者１３８例，全部进行了头颅轴位ＣＴ扫描；并与３４２例的ＣＴ诊断结果进行对照分析。结果：中经络２０４例中腔隙性脑梗死１５６例，缺血性脑梗死２６例，出血性脑梗死３例，脑出血（小面积出血灶）１１例；中脏腑１３８例中以脑出血为主。结论：ＣＴ诊断中的腔隙性脑梗死以及小面积的脑出血等中风病证多为中经络（１９６例）；而脑出血和多发性脑梗死等多为中脏腑（１３０例）。同时临床表现和中医辨证也符合“中经络者一般无意识改变而病轻，中脏腑者常有意识不清而病重”
Objective:To explore the relativity by contrasting the result from clinical syndrometype in TCM and craniocerebral CT examination in 342 patients with stroke.Methods:CT scanning in cranial axis were taken in 342 cases of stroke,they were divided into Zhong Jingluo type ( n =204) and Zhong Zangfu type ( n =138) in TCM.Moreover,they were analyzed contrastly with CT diagnostic findings.Results:There were 156 cases with middle compartment cerebral infarction (CI),26 cases with ischemic CI,3 cases with hemorrhagic CI and 11 cases with cerebral hemorrhage(lesser area) among 204 cases of Zhong Jingluo type;while the 138 cases of Zhong Zangfu type were presented cerebral hemorrhage mainly.Conclusions:Patients of CT diagnosed compartment CI and cerebral hemorrhage (lesser area) are belong in Zhong Jingluo type ,but the cerebral hemorrhage and multiple CI patients are belong in Zhong Zangfu type in TCM.Additionally,there are no change of consciousness and light illness of Zhong Jingluo type ,but there are unconciousness and severe process in Zhong Zangfu type in TCM,it is coincidence with clinical picture and differentiationtype in TCM.
关键词
中风
CT
辨证分型
中经络
中脏腑
stroke\ \ CT\ \ differentiationtype in TCM\ \ Zhong Jingluo\ \ Zhong Zangfu
