摘要
目的探讨缺血性脑卒中患者神经科体征以外的与气虚相关的旁证,为临床诊断"气虚"证提供有力依据。方法由中西医结合专职医生从全部缺血性脑卒中病例中选中气虚血瘀型患者,除观察传统中医学气虚证的表现外,同时用手触摸患者手足心是否潮湿,观查是否患有甲癣或足癣,并询问其是否因此而就诊于皮肤科曾被确诊过。结果被调查的247例病例中有56例(22.67%)属于气虚血瘀型脑卒中,56例患者除有气虚表现外,合并足癣或甲癣者49例(87.50%),其中足癣患者32例(65.31%),甲癣患者17例(34.69%),二者兼有者18例(36.73%);未合并足癣或甲癣者7例(12.50%)。结论传统中医学论述的气虚证不但客观存在,且大多能用现代医学方法找到客观依据。
Objective To investigate circumstantial evidence for Qi - deficiency syndrome except neurological signs in ischemic stroke and establish the clinical diagnosis of Qi - deficiency syndrome. Methods The patients（pts） with Qi - deficiency and blood stasis syndrome were selected from pts with ischemic stroke by integrative medicine specialist. Besides traditional Chinese medicine clinical characteristics of Qi- deficiency syndrome,palm and sole center were touched to find whether they were wet or not,and whether there were onychomycosis or tinea pedis diagnosed by dermatologist. Results Syndrome of Qi - deficiency and blood stasis was found in 56 pts（22.67%） out of 247 pts with ischemic stroke. In the 56 pts,49 pts（87. 50%） had both Qi -deficiency syndrome and onycho mycosis or tinea pedis,within which 32 pts（65.31%） were with tinea pedis,17 pts（34. 69%） with onychomycosis, 18 pts（36. 73%） with both,and 7 pts（12.50%） without onychomycosis or tinea pedis. Conclusion Qi - deficiency syndrome was exist objectively in pts with cerebral infarction and could be detected by modern medical method.
出处
《中西医结合心脑血管病杂志》
2009年第2期153-154,共2页
Chinese Journal of Integrative Medicine on Cardio-Cerebrovascular Disease
关键词
缺血性脑卒中
气虚血瘀型
甲癣
足癣
旁证
cerebral infarction
syndrome of Qi - deficiency and blood stasis
onychomycosis
tinea pedis
circumstantial evidence
作者简介
宋珏娴（1979-），女．硕士研究生，现工作于首都医科大学宣武医院（邮编：100053）
现为首都医科大学宣武医院神经内科中西医结合硕士研究生。
现为首都医科大学宣武医院神经内科中西医结合硕士研究生。
