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椎—基底动脉供血不足性眩晕的中医体质与证候相关性研究

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目的:探讨椎--基底动脉供血不足性眩晕(VBIV)的中医体质与证候的分布及相关性特点,为其辨证论治提供依据.方法:通过回顾性的调查,对 60 例椎—基底动脉供血不足性眩晕患者的中医体质、中医症状、舌相、脉象等数据进行了收集,并运用描述性统计分析,对其主要症状、舌象、脉象、证素及中医体质的分布特点进行了分析.结果:①60 例VBIV患者中,中医体质类型判定为:痰湿质者>阴虚质者>血瘀质者>气虚质者>阳虚质者.②60例VBIV患者中有眩晕症状者 55 例(91.6%),眩晕为主要症状,其次为盗汗(40%)、发热(30%)、呕吐(30%)、心悸(32%)、头疼(28%)、健忘(26%)、多梦(24%)等.③通过对症状、舌脉分析得到的VBIV中医证候主要为肝肾阴虚证、痰浊中阻证、瘀血阻窍证、气血亏虚证、风痰上扰证等.④主要体质类型与中医证候的关系:痰湿质者易出现痰浊中阻证(P<0.05)、风痰上扰证(P<0.05);阴虚质者易出现肝肾阴虚证(P<0.05);血瘀质者易出现瘀血阻窍证(P<0.05);气虚质者易出现气血亏虚证(P<0.05)等.结论:该研究初步明确了VBIV患者的体质类型与证候具有明显相关性,为未来从中医体质与证候方面研究VBIV提供了理论及实践依据.
Study on the Correlation between TCM Constitution and Syndrome of Vertebrobasilar Artery Insufficiency Vertigo
Objective:To explore the distribution and correlation characteristics of traditional Chinese medicine constitution and syndromes of vertebral-basilar artery insufficiency vertigo(VBIV),and to provide a basis for syndrome differentiation and treatment.Methods:Through retrospective investigation,the TCM constitution,TCM symptoms,tongue appearance,pulse condition and other data of 60 patients with vertebral-basilar artery insufficiency vertigo were collected,and descriptive statistics were used to analyze their main symptoms,The distribution characteristics of tongue,pulse,syndrome factors and TCM constitution were analyzed.Results:(1)Among the 60 VBIV patients,the TCM constitution types were determined as:phlegm-dampness constitution>Yin deficiency constitution>blood stasis constitution>Qi deficiency constitution>Yang deficiency constitution.(2)Among the 60 VBIV patients,55(91.6%)had vertigo symptoms.Dizziness was the main symptom,followed by night sweats(40%),fever(30%),vomiting(30%),palpitations(32%),Headache(28%),forgetfulness(26%),dreaminess(24%),etc.(3)The TCM syndromes of VBIV ob-tained through the analysis of symptoms,tongue and pulse are mainly liver and kidney yin deficiency syndrome,phlegm obstruction syndrome,blood stasis blocking the orifices,Qi and blood deficiency syndrome,wind and phlegm distur-bance syndrome,etc.(4)The relationship between main constitution types and TCM syndromes:People with phlegm-dampness constitution are prone to phlegm-turbid obstruction syndrome(P<0.05)and wind-phlegm upper disturbance syndrome(P<0.05);those with Yin deficiency constitution are prone to liver-kidney Yin syndrome Deficiency syndrome(P<0.05);patients with blood stasis constitution are prone to blood stasis blocking the orifices(P<0.05);patients with Qi deficiency constitution are prone to Qi and blood deficiency syndrome(P<0.05).Conclusion:This study preliminarily clarified that there is a significant correlation between the constitution types and syndromes of VBIV patients,and pro-vides theoretical and practical basis for future research on VBIV from the aspects of TCM constitution and syndromes.

Vertebral-basilar artery insufficiency dizzinessTCM constitutionTCM syndrome analysisRetrospec-tive study

张迈、程远

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长春中医药大学 吉林长春 130117

长春中医药大学附属医院 吉林长春 130021

椎——基底动脉供血不足性眩晕 中医体质 中医证候分析 回顾性研究

2024

中医药临床杂志
中华中医药学会

中医药临床杂志

影响因子:0.636
ISSN:1672-7134
年,卷(期):2024.36(5)
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