摘要
目的观察非急性期缺血性脑卒中患者的健康状态和中医特征。方法采用流行病学方法,调查上海市嘉定区和闵行区的11个社区中发病2周~2年的缺血性脑卒中患者,共305例,以血管危险因素、中医证型、中医体质、躯体残障[日常活动的依赖程度评分(MRS)和残障表现]、认知[简易智能状态检查表(MMSE)]和情志[抑郁自评量表(SDS),焦虑自评量表(SAS)]为观察指标,比较恢复期(57例)和后遗症期(248例)患者健康状态和中医特征。结果305例非急性期缺血性脑卒中患者中,男性189例,女性116例,平均年龄(67.0±7.9)岁,最常见危险因素是高血压病[78.0%(238/305)],中医证型以气虚血瘀证[42.0%(128/305)]为主,中医体质以气虚质[32.8%(100/305)]为主。66.6%(203/305)的患者有不同程度后遗症(MRS 1~5),以感觉障碍[18.0%(55/305)]最多见,38.7%(118/305)的患者有不同程度认知障碍,20.3%(62/305)的患者有不同程度抑郁,12.5%(38/305)的患者有不同程度焦虑。恢复期患者高胆固醇血症的伴发率[26.3%(15/57)]高于后遗症期患者[15.3%(38/248),P=0.048],其余指标比较,差异无统计学意义(P>0.05)。结论非急性期缺血性脑卒中患者以气虚血瘀证和气虚质最多见,部分患者存在躯体残障、认知障碍和情志障碍。
Objective To observe the health status and traditional Chinese medicine(TCM) characteristics of patients with non-acute ischemic stroke.Methods Totally 305 patients with ischemic stroke within 2 weeks to 2 years in 11 communities in Jiading district and Minhang district,Shanghai were investigated and their vascular risk factors,TCM syndromes and constitution,physical disability [Modified Rankin Scale(MRS) and disability manifestations],cognition [Mini-mental State Examination(MMSE)],and emotional [Self-rating Depression Scale(SDS),Self-rating Anxiety Scale(SAS)] were observed and compared between patients with recovery period(57 patients) and sequelae-retaining period(248 patients).Results Among 305 patients with non-acute ischemic stroke,189 were male and 116 were female,with an average age of(67.0±7.9) years.The most common risk factors were hypertension [78.0%(238/305)],and TCM syndromes were Qi deficiency and Blood stasis syndrome [42.0%(128/305)].TCM constitution was most common with Qi deficiency [32.8%(100/305)].66.6%(203/305) of patients had different degrees of sequelae(MRS 1-5),in which sensory disturbances [18.0%(55/305)] were most common.38.7%(118/305) of patients had different degrees of cognitive impairment,20.3%(62/305) of patients had different degrees of depression,and 12.5%(38/305) of patients had different degrees of anxiety.Compared with patients with recovery period and sequelae-retaining period,the concomitant rate of hypercholesterolemia in patients with recovery period [26.3%(15/57)] was significantly higher than that in patients with sequelae-retaining period [15.3%(38/248),P=0.048],and the remaining indicators were not statistically different(P>0.05).Conclusions Non-acute ischemic stroke patients with Qi deficiency and Blood stasis syndrome were most common.Some patients had physical disability,cognitive impairment and emotional disorders.
作者
龚柳
王宇
姚迎叶
俞建锋
汤伟
吉宏彬
孙青
诸杰
张晓钢
刘宪锋
马洁
忻伟
张云云
GONG Liu;WANG Yu;YAO Ying-ye;YU Jian-feng;TANG Wei;JI Hong-bin;SUN Qing;ZHU Jie;ZHANG Xiao-gang;LIU Xian-feng;MA Jie;XIN Wei;ZHANG Yun-yun(Department of Neurology,Yueyang Hospital of Integrated Traditional Chinese and Western Medicine Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai(200437;Department of Neurology,Baoshan Branch,Shuguang Hospital,Shanghai University of Traditional Chinese Medicine,Shanghai(201999;Community Health Service Center,Waigang Town,Jiading District,Shanghai(201806;Community Health Service Center,Jiading Town,Jiading District,Shanghai(201899;Yingyuan Hospitaly Jiading District,Shanghai(201800;Community Health Service Center,Malu Town,Jiading District,Shanghai(201801;Community Health Service Center,Juyuan New District,Jiading District,Shanghai(201899;Community Health Service Center,Nanxiang Town,Jiading District,Shanghai(201802;Community Health Service Center,Jiading Industrial Zoney Jiading District,Shanghai(201815))
出处
《中国中西医结合杂志》
CAS
CSCD
北大核心
2019年第12期1434-1439,共6页
Chinese Journal of Integrated Traditional and Western Medicine
基金
上海市进一步加快中医药事业发展三年行动计划(No.ZY3-FWMS-1-1001-YY)
关键词
缺血性脑卒中
流行病学调查
健康状态
中医特征
ischemic stroke
epidemiological investigation
health status
characteristics of traditional Chinese medicine
