摘要
目的研究缺血性中风发病的子午流注时间规律,探讨缺血性中风的病因病机,为子午流注时间医学防治缺血性中风提供一定理论基础。方法收集重庆市中医院2010年1月至2015年2月缺血性中风患者586例的发病资料,应用圆分布统计分析缺血性中风发病的时间规律。结果经圆分布统计分析,缺血性中风发病具有一定季节集中趋势,发病高峰为11月24日,高峰期为8月9日至次年3月11日(r=0.1824,P<0.05)。根据子午流注纳甲法推算出缺血性中风发病时的值日经,经圆分布统计分析,值日经为足厥阴肝经的时段是缺血性中风发病的高峰趋势(r=0.089,P<0.05)。分析昼夜24 h的发病时间规律发现,发病高峰为7时13分,高峰期为2时33分至11时53分(r=0.4732,P<0.05)。结论缺血性中风全年散发但仍具有一定季节集中趋势,集中趋势相对较弱,发病高峰期为秋冬交替季节,提示在这一时期需采取相应预防措施可能会减少缺血性中风发病。根据子午流注纳甲法分析发病值日经周期规律,足厥阴肝经值日时段是缺血性中风发病的高峰趋势。结合子午流注纳子法时辰周期分析,缺血性中风发病的高峰为辰时,即气血流注于足阳明胃经时易于发病,所以在缺血性中风防治措施中应重视调和肝经与胃经的功能。
Objective： To research the midnight-noon ebb-flow rhythm of the attack time in patients of ischemic stroke,explore the etiology and pathogenesis of ischemic stroke so as to provide theoretical basis for applying midnight-noon ebb-flow rhythm in the prevention and treatment of ischemic stroke. Methods： 586 cases of ischemic stroke from January 2010-February 2015 in Chongqing Traditional Chinese Medicine Hospital were collected and the data of attack time was reviewed. Circular distributive analysis was applied to research the mid- night-noon ebb-flow rhythm of the attack time. Results： According to circular distributive analysis, the incidence of ischemic stroke had seasonal central trend. The peak of incidence was November 24th. The peak duration was from August 9th to March llth in the next year,γ was 0.1824 （P〈0.05）. According to Najia method of midnight- noon ebb-flow,the time of liver meridian on duty was the central trend,γ was 0.089 （P〈 0.05）. The results showed that the incidence of ischemic stroke had circadian rhythm,the peak time was 7：13 ,the peak duration was from 2：33 to 11：53,γ was 0.4732 （P〈 0.05）. Conclusion： The incidence of ischemic stroke has the seasonal central trend, but the trend is relatively weak. The peak time is the season of autumn-winter alternating which indicates that certain preventive measures should be taken to reduce the incidence of ischemic stroke. According to method of midnight-noon ebb-flow,liver meridian on duty is the central trend. According to Nazi method of mid- night-noon ebb-flow,Chen Shi when qi and blood flowing and pouring at stomach meridian of foot-yangming is the peak time of incidence. So we should pay attention to the reconciliation of the functions of liver meridian and the stomach meridian in the prevention and treatment of ischemic stroke.
出处
《中国中医急症》
2016年第12期2235-2237,共3页
Journal of Emergency in Traditional Chinese Medicine
基金
重庆市卫生和计生委中医药科技项目(ZY201402043)
关键词
缺血性中风
子午流注
圆分布统计
Ischemic stroke
Midnight-noon ebb-flow
Circular distributive analysis
