脑梗死恢复期痰证与血脂代谢关系的临床观察.doc

《脑梗死恢复期痰证与血脂代谢关系的临床观察.doc》由会员上传分享，免费在线阅读，更多相关内容在工程资料-天天文库。

1、脑梗死恢复期痰证与血脂代谢关系的临床观察作者：焦久存刘胜芳牛玉国吕士君【摘要】目的探讨脑梗死恢复期痰证与血脂代谢的关系。方法将脑梗死恢复期患者103例按辨证分型分为2组，痰证组52例，非痰证组51例；并设正常对照组50例，为老年体检者(健康人)。评定痰证组和非痰证组临床神经功能缺损积分，并检测3组总胆固醇(TC)、甘油三酯(TG)及低密度脂蛋白胆固醇(L叽-C)水平。结果脑梗死恢复期痰证组临床神经功能缺损积分(22.91±11.15)分，非痰证组临床神经功能缺损积分(12.10±8.19)分，2组比较差异有统计学意义

2、(P<0.01);脑梗死恢复期TG、TC、LDL-C均较正常对照组显著升高(P<0.01);痰证组TG、TC、LDL-C较非痰证组明显升高，2组比较差异均有统计学意义(P<0.05,P<0.01)。结论脑梗死恢复期存在严重的血脂代谢紊乱，临床应注重化痰以促进神经功能恢复和身体康复。【关键词】脑梗死恢复期痰证胆固醇甘油三酯类脂蛋白类LDL胆固醇Clinicalobservationontherelationshipbetweenphlegmsyndromeatrecoveryphaseofcerebralinfarct

3、ionandmetabolismofbloodfat.【Abstract]ObjectiveToexploretherelationshipbetweenphlegmsyndromeatrecoveryphaseofcerebralMethods103patlentsinfarctionandmetabolismofbloodfat.dividedintowithcerebralinfarctionatrecoveryphasewere2groupsbydifferentiationforsyndromeclassi

4、fication.52patientswereinphlegmsyndromegroup,otherswereinnon-phlegmsyndromegroupandtherealsowasanormalcontrolgroupwith50healthyseniors・ConductingtheevaluationofcolobomaofnervefunctionaldefectanddetectingthelevelofTC,TGandLDL-C・ResultsThescoreofcolobomaofnervefu

5、nctionaldefectinphlegmsyndromegroupwas(22.91土11.15),whichwas(12.10±8.19)innon一phlegmsyndromegroup・Therewassignificantdifferencebetweentwogroups(P&It;0.01).TheparametersofTC,TGandLDL-Cinbothgroupswerehigherthanthatinnormalcontrolgroup(P&It;0.01).TheparametersofT

6、C,TGandLDL-Cinphlegmsyndromegroupwashigherthanthatinnon-phlegmsyndromegroup,therewassignificantdifferencebetweentwogroups(P&It;0.05，P<0.01).ConclusionPatientswithcerebralinfarctionatrecoveryphasehadseveremetabolicdisturbance,theclinicaltreatmentshouldfocuson

7、dissolvingphlegmsoastopromotetherecoveryofnervousfunction.[KeyWords]Cerebralinfarction;Recoveryphase;Phlegmsyndrome;Cholesterol;Triglyceride;Lipoprotein;HDLcholesterol随着人民生活水平的提高和人口年龄结构及疾病谱的改变，脑梗死发病率呈上升趋势，严重危害人类生命和健康。痰在其发病中起重要作用，痰证几乎贯穿脑梗死整个病程,是脑梗死发生发展的主线。目前，脑梗死

8、痰证仍缺乏客观化的标准，有必要进行进一步的客观化研究。1资料与方法1.1诊断及排除标准参照《各类脑血管疾病诊断要点》[1],且经头颅CT确诊。根据《中风病诊断与疗效评定标准》[2]分为6型，即风痰火亢证、痰热腑实证、风痰瘀阻证、痰湿蒙神证、气虚血瘀证和阴虚风动证。风痰火亢证、痰热腑实证、风痰瘀阻证、痰湿蒙神证归为痰证组，气虚血瘀证、阴虚风动证归