出血型腦中風急性期中醫證型之研究

謝慶良
中國醫藥大
中醫的最大特色是整體觀和辨證論治，而辨證論治決定治療的方針，因此對疾病治療的成敗與證型的判定有密切的關係。腦中風分為出血型和梗塞型兩種，兩者之間的臨床發病形式有很大的差異，去年我們的研究計畫，已經完成了腦梗塞急性期的中醫證型分析，我們發現腦梗塞急性期與火、氣虛和陰虛陽亢的關係遠不如風、痰和血瘀來的密切﹐因此本研究的目的是研究出血型腦中風急性期的中醫證型﹐我們蒐集中國醫藥大學附設醫院和北港馬祖醫院由急診入院的出血型腦中風急性期病患100位﹐他們都經頭部電腦斷層或核磁共振檢查及神經科醫師診斷確定為出血型腦中風﹐這些病患都經神經科醫師施行神經學檢查﹐並分別填寫中國醫藥大學附設醫院腦中風登記表、生活功能獨立執行測量表、Modified Rankin Scale、美國國家衛生研究院中風評量表、巴氏量表﹐然後再由兩位資深中醫師取得一致性中醫望、聞、問、切等四診診察﹐並將診察所得資料填寫於中國醫藥大學中風病辨證診斷量表﹐以上工作都在腦中風發作開始7天之內完成。最後統計分析這些資料來了解出血型腦中風急性期的中醫證型﹐同時也可了解證型和臨床症狀嚴重程度的相關關係。
關鍵字：出血型腦中風、急性期、中醫證型

The study of Chinese Medicine pattern in acute stage of stroke with hemorrhagic type

Ching-Liang Hsieh
China medical university hospital
The characteristics of Chinese Medicine are integral idea, and pattern identification and treatment, while pattern identification is to determine the method of treatment. Therefore, there are a closely relationship between the effective treatment and Chinese Medicine pattern identification. Cerebrovascular accident (CVA) is divided into infarction and hemorrhagic types. There is some difference between them in the onset of disease. We have finished the Chinese Medicine Pattern analysis of cerebral infarct with acute stage last year in our study, we found that Chinese Medicine pattern of cerebral infarct with acute stage belong to wind, sputum and blood stasis rather than fire, Qi vacuity, and blood stasis. Therefore, the purpose of the present study is to investigate the Chinese Medicine pattern of stroke with hemorrhagic type in acute stage. We collect 100 patients with acute stage of stroke with hemorrhagic type from emergence room of China Medical University hospital and Matsu hospi
關鍵字：Stroke with hemorrhagic type, Acute stage, Chinese Medicine Pattern