【摘要】：目的:通過化痰通腑法對中風中臟腑痰熱腑實證患者意識障礙、神經(jīng)功能缺損及相關(guān)證候影響的分析,研究痰熱腑實證及化痰通腑法在中風病病勢轉(zhuǎn)歸中的作用。方法:檢索東直門醫(yī)院信息中心1975年至2005年中風病案號從病案室獲取原始病案,嚴格遵照中風病和痰熱腑實證的診斷標準及本研究的納入和排除標準,遵循雙人雙錄交叉核對原則,將紙質(zhì)病案轉(zhuǎn)化為結(jié)構(gòu)化電子數(shù)據(jù),運用頻次統(tǒng)計和t檢驗分析通腑前后患者在意識狀態(tài)、神經(jīng)功能缺損及火熱證、痰證的改變情況。結(jié)果:共得到中風中臟腑痰熱腑實病案217例72.81%的患者,其證候在發(fā)病72 h內(nèi)出現(xiàn),化痰通腑法可使83.41%的患者腑氣通暢,58.5%的患者神志轉(zhuǎn)清,同時促進了意識恢復(fù)的速度,縮短了意識障礙持續(xù)時間,降低了火熱證、痰證程度,促使神經(jīng)功能恢復(fù)。結(jié)論:痰熱腑實證出現(xiàn)與中風病嚴重程度相關(guān),化痰通腑法促使腑氣通暢、降濁解毒,減輕痰熱、痰火證的同時,對改善中風病意識及神經(jīng)功能缺損的病情有積極作用。腑氣通暢在中風病中占據(jù)重要地位,痰熱腑實證及化痰通腑使腑氣通暢對中風病預(yù)后轉(zhuǎn)歸有重要作用,提示中風病發(fā)生發(fā)展過程中腦與腸存在密切關(guān)聯(lián)。
[Abstract]:Objective: to study the effect of phlegm-heat therapy and phlegm-clearing method on syndrome of apoplexy by analyzing the influence of phlegm-heat and phlegm-clearing method on the disturbance of consciousness, nerve function defect and related syndromes in patients with syndrome of zang-fu phlegm and heat in apoplexy. Methods: the original medical records were obtained from the medical records room of Dongzhimen Hospital Information Center from 1975 to 2005. The diagnostic criteria of apoplexy and phlegm heat were strictly followed and the inclusion and exclusion criteria of this study were followed strictly. According to the principle of double record cross check, the paper medical records were converted into structured electronic data. Frequency statistics and t test were used to analyze the changes of the patients' consciousness state, nerve function defect, fire and heat syndrome and phlegm syndrome. Results: a total of 217 cases (72.81%) were found in the history of zang-fu phlegm-heat and fu-fu consolidation in apoplexy. The syndrome appeared within 72 hours after the onset of stroke, 83.41% of the patients were free of fu-qi, 58.5% of the patients had clear mind, and 83.41% of the patients had the ability to clear the fu-qi, 58.5% of the patients had clear mind. At the same time, it promotes the speed of consciousness recovery, shortens the duration of consciousness obstacle, reduces the degree of heat syndrome and phlegm syndrome, and promotes the recovery of nerve function. Conclusion: the occurrence of phlegm-heat and fu-organ syndrome is related to the severity of apoplexy. The method of resolving phlegm and clearing fu-organs can promote the unobstructing of fu-qi, reduce turbidity and detoxify, alleviate phlegm heat and phlegm fire syndrome, and have a positive effect on improving the condition of apoplectic consciousness and neurological function defect at the same time. The evidence of phlegm and heat and removing phlegm and regulating fu-qi play an important role in prognosis of apoplexy, suggesting that there is a close relationship between brain and intestine in the process of occurrence and development of apoplexy.
【作者單位】： 北京中醫(yī)藥大學東直門醫(yī)院;中國中醫(yī)科學院廣安門醫(yī)院;
【基金】：國家自然科學基金資助項目(81273693)
【分類號】：R255.2

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