血瘀证诊断标准的研究

作者	单位
王阶	中国中医研究院西苑医院
陈可冀	中国中医研究院西苑医院心血管病研究室
翁维良	中国中医研究院西苑医院心血管病研究室
钱振淮	中国中医研究院西苑医院心血管病研究室
王怡	中国中医研究院西苑医院心血管病研究室
刘剑刚	中国中医研究院西苑医院心血管病研究室
葛争艳	中国中医研究院西苑医院心血管病研究室

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中文摘要:

本文采用电子计算机和多元线性逐步回归方法,对血瘀证的临床症状、体征和血液流变学检查指标的变化作了定量分析,结果在症状体征中,舌质紫暗、少腹部抵抗压痛、皮下瘀血斑、脉涩、病理性肿块、黑便等对血瘀证的贡献率最大,在血液流变学检查中,全血粘度、体外血栓形成、血小板聚集,血栓弹力图等对血瘀证的贡献率最大,根据回归结果,结合国内外既往研究,提出了一个血瘀证的定量诊断标准。

英文摘要:

The clinical symptoms and signs and hemorrheologic data of biood-stasis symptom-complex (BSSC)were quantitatively studied by computerized stepwise regression analysis in 202 cases.The quantitative diagnostic criteria of BSSC were then proposed in this paper according to the results of such analysis and previous researches.The criteria are evaluated with point scale:Purple of the tongue(mild-8,severe-10),subcutaneous purple scars(mild-8,severe-10),tenderness of the lower abdomen(mild-8,severe-10),hesitant pulse(10),black stool(10),pathological mass(10),varicosity of undertongue(mild-8,severe-10),slow and uneven pulse(8),lack of pulse(10),varicosity of the abdominal wall(10),black menstrual blood with clots(mild-8,severe-10),persistant angina pectoris (10),general constant pain(8).clark-red color of the lip and gums(6).telangiectasis(5),numbness of the extremeties(5),hemiplasia(mild-5,severe-7),palatal mucous sign(mild-4,severe-5),mental dysfunction(restlessness-4,manic reaction-8),rough skin(mild-4.severe-5),surgical history(5), increased blood viscosity(10),increased plasma viscosity(5).increased thrombus weight in vitro test (dry-10,wet-8),platelet hyperaggregation(10),abnormal thromboelastograph(8),microcirculation disturbance(10),decreased fibrinolytic activity(10),increased platelet releasing function(10), pathological stasis with microview(10),vascular obstruction by specific technical examination(10), Standard of judgement:≤19 points-non-BSSC,20～49 points-mild BSSC,≥50 points-severe BSSC.

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