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目的研究急性脑梗死合并糖代谢异常患者在脑梗死发病初期中医证候的分布特点。方法对224例急性脑梗死患者进行血糖检测,并采用美国国立卫生研究院卒中量表(NIHSS)进行神经功能缺损评分,同时对患者的中医证候进行评分,分析急性脑梗死合并糖代谢异常者的证候特点。结果急性脑梗死合并糖代谢异常患者121例,无糖代谢异常者103例;急性脑梗死合并糖代谢异常患者的NIHSS评分高于无糖代谢异常患者(P<0.05),急性脑梗死合并糖代谢异常组患者的高血压患病比例明显高于无糖代谢异常组的患者(P<0.01),急性脑梗死合并糖代谢异常组火热证例数比例较无糖代谢异常患者要高(P<0.05),两组分布前10位的中医证候类型大体相似。结论急性脑梗死合并糖代谢异常患者火热证多于无糖代谢异常患者,神经功能缺损也较严重,且多合并高血压病。
Objective To study the distribution of TCM syndromes in the early stage of cerebral infarction in patients with acute cerebral infarction and abnormal glucose metabolism. Methods Blood glucose was measured in 224 patients with acute cerebral infarction. The NIHSS score was used to assess the neurological deficit. At the same time, the TCM syndromes of patients were scored. The patients with acute cerebral infarction complicated with abnormal glucose metabolism Syndrome characteristics. Results There were 121 cases of acute cerebral infarction complicated with abnormal glucose metabolism and 103 cases of abnormal glucose metabolism. The NIHSS score of acute cerebral infarction complicated with abnormal glucose metabolism was higher than that of patients without abnormal glucose metabolism (P <0.05), and acute cerebral infarction complicated with glucose metabolism The prevalence of hypertension in patients with abnormal group was significantly higher than that in patients with abnormal glucose metabolism (P <0.01), and the proportion of cases with abnormal number of patients with abnormal glucose metabolism in patients with acute cerebral infarction was significantly higher than those without glucose metabolism (P <0.05) ), The two groups of the top 10 distribution of TCM syndromes are generally similar. Conclusion Patients with acute cerebral infarction complicated with abnormal glucose metabolism have more fiexible syndromes than patients with abnormal glucose-free metabolism, with severe neurological deficits and complicated with hypertension.