Department of Chinese Medicine, China Medical University Hospital, Taichung, Taiwan.
Explore (NY). 2013 Jul-Aug;9(4):226-31. doi: 10.1016/j.explore.2013.04.002.
We investigated the relationship between Chinese medicine pattern (CMP) types, their severity, and prognosis in patients (n = 187) with acute cerebral infarct (ACI). Six CMPs (wind, phlegm, fire-heat, blood stasis, qi deficiency, and yin deficiency and yang hyperactivity) were evaluated according to inspection, listening and smelling, inquiry, and palpitation. The severity and prognosis of each pattern type was determined according to the Glasgow Coma Scale (GCS), Modified Rankin Scale (MRS), National Institutes of Health Stroke Scale (NIHSS), Barthel Index (BI), and Functional Independence Measure (FIM), recorded at stroke onset and 12 weeks after stroke onset. The phlegm pattern (PP) patients displayed lower GCS, BI, and FIM scales scores, and higher MRS and NIHSS scales scores, than the nonphlegm pattern (N-PP) patients at, and 12 weeks after stroke onset, suggesting the clinical severity is greater and the prognosis is worse in PP patients with ACI than in non-PP patients with ACI.
我们调查了急性脑梗死（ACI）患者（n = 187）的中医证型（CMP）类型、严重程度及其预后之间的关系。根据望、闻、问、切，评估了 6 种 CMP（风、痰、火、瘀、气虚和阴虚阳亢）。根据格拉斯哥昏迷量表（GCS）、改良 Rankin 量表（MRS）、美国国立卫生研究院卒中量表（NIHSS）、巴氏量表（BI）和功能独立性测量（FIM），在发病时和发病后 12 周评估每种证型的严重程度和预后。与非痰证型（N-PP）患者相比，痰证型（PP）患者在发病时和发病后 12 周的 GCS、BI 和 FIM 量表评分较低，MRS 和 NIHSS 量表评分较高，提示痰证型 ACI 患者的临床严重程度更高，预后更差。
