[1]雷亚玲 李军.眩晕痰瘀交结证的多因素临床分析[J].现代中医药,2018,(05):021-24.[doi:10．13424/j．cnki．mtcm．2018．05．007]
　Lei Yaling Li Jun.Multifactorial Clinical Analysis of Vertigo (Hypertension) Syndrome of Phlegm and Blood Stasis[J].Modern Traditional Chinese Medicine,2018,(05):021-24.[doi:10．13424/j．cnki．mtcm．2018．05．007]
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眩晕痰瘀交结证的多因素临床分析()
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《现代中医药》[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2018年05期
页码:
021-24
栏目:
临床研究
出版日期:
2018-09-15

文章信息/Info

Title:
Multifactorial Clinical Analysis of Vertigo (Hypertension) Syndrome of Phlegm and Blood Stasis
文章编号:
1672－0571(2018)05－0021－04
作者:
雷亚玲 1 李军 2
1.陕西省中医医院脑病科，陕西 西安 710032;2.陕西中医药大学，陕西 咸阳 712046
Author(s):
Lei Yaling 1 Li Jun
1． Encephalopathy Division of Shaanxi TCM Hospital，Xi’an China，710032; 2． Shaanxi University of Chinese Medicine，Xianyang China，712046
关键词:
眩晕; 痰瘀交结证 ; 多因素; 临床分析
Keywords:
vertigo (hypertension); syndrome of phlegm and blood stasis;  multifactors;  clinical analysis
分类号:
Ｒ255. 3
DOI:
10．13424/j．cnki．mtcm．2018．05．007
文献标志码:
A
摘要:
目的 总结分析眩晕痰瘀交结证的病因病机、证候特点，临证辨治及选方用药特点。方法 搜集资料 完整的病例共 464 例，分为痰瘀交结证组与非痰瘀交结证组;比较 2 组在年龄、性别、危险因素，痰瘀偏重及兼夹 证型的差异;同时对包含有症状、体征、理化指标及舌脉等 35 项证候特征进行线性逐步回归分析。结果 痰瘀交 结证组 191 例(占 41． 16%);与非痰瘀交结证组在年龄、性别、危险因素方面比较，差异有统计学意义(P ＜ 0． 05);并且痰瘀有偏重，兼夹证型中肝阳上亢型比例最高; 35 项症候因素结果显示
Abstract:
To summarize and analyze the etiology，pathogenesis，syndrome characteristics， clinical treatment based on syndrome differentiation，prescription selection of vertigo (hypertension) syn- drome of phlegm and blood stasis． Method: A total of 464 cases of complete data were collected，which were divided into intermingled phlegm and blood stasis syndrome group and non intermingled phlegm and blood stasis syndrome group，the differences between the 2 groups in age，sex，risk factors，different situations of phlegm and blood stasis as well as intermingled patterns of syndrome were compared． 35 syndromes including symptoms，signs，physicochemical indexes and tongue veins were analyzed by linear stepwise regression a- nalysis． Ｒesult: 191 cases (41．16%) were found in intermingled phlegm and blood stasis syndrome group; the differences were statistically significant (P ＜0．05) in terms of age，sex，and risk factors between the two groups． And the phlegm and blood stasis are not equally existed，among the intermingled patterns of syn- drome，upper hyperactivity of liver yang has the highest proportion． The results of 35 symptom factors showed that 9 factors hold the most significant correlation with vertigo (phlegm and blood stasis syndrome) which are: slippery pulse，uneven pulse，sublingual －threads，hyperlipemia，lingual color，dizziness，high blood viscosity，thickness of the tongue coating and numbness of limb． Conclusion: There is a long process of for- mation of intermingled phlegm and blood stasis syndrome in vertigo (hypertension)，phlegm stagnation and blood stasis run through the course of the disease． Clinical observation suggests that phlegm stagnation and blood stasis should be treated at the same time and corresponding treatment should be given according to dif-ferent situations of phlegm and blood stasis as well as intermingled patterns of syndrome，in this way，the pathogenesis could be hit and the curative effect could be shown．

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备注/Memo

备注/Memo:
收稿日期:2018 －05 －07 编辑:巩振东
更新日期/Last Update: 2019-12-09