论文部分内容阅读
目的：探讨中风患者中经络、中脏腑的脑脊液酸碱度和气体变化的关系，揭示中经络和中脏腑的不同病理本质，为临床诊断和治疗中风提供依据。方法：用血气分析仪对１００例中风患者做了脑脊液酸碱度的测定和气体分析。将中经络组、中脏腑组分别与５１例正常对照组和５１例脑脊液对照组比较。结果：中脏腑组与中经络组氢离子浓度（Ｈ＋）均显著增高（Ｐ均＜０．０１），以中脏腑组更明显。中脏腑组剩余碱（ＢＥ）、标准碳酸氢根（ＳＢ）和标准剩余碱（ＳＢＥ）３项指标显示代谢性酸中毒与正常对照组和中经络组比较均有显著性差异（Ｐ＜０．０１和Ｐ＜０．０５）。结论：脑脊液中Ｈ＋增高是中风的危险因素。脑脊液代谢性酸中毒是中脏腑患者的生化物质基础；脑脊液有否代谢性酸中毒是判断中经络、中脏腑患者的客观指标之一，为中风病的诊断、治疗和判断预后提供了客观依据
Objective: To investigate the relationship between cerebrospinal fluid pH value and gas changes in patients with stroke, to reveal the different pathology and essence of meridian and middle organs, and to provide basis for clinical diagnosis and treatment of stroke. Methods: Blood gas analyzer was used to measure the CSF pH and gas in 100 stroke patients. The meridian group, middle and viscera group were compared with 51 normal control group and 51 cerebrospinal fluid control group. Results: The hydrogen ion concentration (H +) in both organs group and meridian collaterals group were significantly increased (all P <0.01), especially in the middle and viscera group. The contents of residual base (BE), standard bicarbonate (SB) and standard residual base (SBE) in middle and viscera group showed that metabolic acidosis was significantly different from normal control group and middle meridian group (P <0. 01 and P <0.05). Conclusion: Increased H + in cerebrospinal fluid is a risk factor for stroke. Cerebrospinal fluid metabolic acidosis is the basis of biochemical substances in the viscera patients; whether cerebrospinal fluid metabolic acidosis is one of the objective indicators to determine the meridian, middle and viscera patients, which provides an objective basis for the diagnosis, treatment and prognosis of stroke