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黄松章,施永德.高血压和缺血性中风病人辨证论治与血液流变学的关系[J].,1984,(5):276-279,259
高血压和缺血性中风病人辨证论治与血液流变学的关系
Relationship Between Differential Diagnosis of TCM and Hemorheology of Patients with Hypertension and Ischemic Strokes
  
DOI:
中文关键词:  血液流变学指标  高血压病人  辨证论治  缺血性中风病  血液流变性  气阴两虚型  阴阳两虚型  纤维蛋白原  治疗后  预测预后
英文关键词:
基金项目:
Author NameAffiliation
Huang Songzhang 上海市中医医院 
Shi yongde 上海第一医学院生物物理教研室 
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中文摘要:
      本文对136例高血压和20例缺血性中风患者进行了中医辨证和血液流变学观察,结果提示:阴虚、阳虚、阴阳两虚及气阴两虚等四型各具有不同的血液流变学特征,经治疗后血液流变性异常得到了改善。认为养阴化瘀或助阳化瘀法能分别对血液流变性偏差起着趋向正常的双向调节作用。并提出,从血液流变学可观测高血压向缺血性中风演变和预测预后。
英文摘要:
      136 cases of hypertension(HP)and 20 cases of ischemie strokes(IS)were given differential diagnosis in the light of TCM and hemorheological study.The patients were divided into four groups:Yin Xu,Yang Xu,both Yin Xu and Yang Xu,and both Qi Xu and Yin Xu.The adopted tests of hemorheology were hematocrit(X1),whole blood relative viscosity(X2),whole blood reduced viscosity(X3),plasma relative viscosity(X4),fibrinogen(X5), erythrocyte sedimentation rate(X6)and its equational coefficient K(X7),and mean RBC volume(X8)and hemoglobin(X9). The results showed that X1,X2 and X8 increased and X9 decreased statistically in Yang Xu group,X1,X4,X5, X6,X7 and X9 increased significantly in Yin Xu group,the both Yin Xu and Yang Xu group showed characteristics of the above two groups,and in both Qi Xu and Yin Xu group,only 1 or 2 tests showed increase or decrease.After 62 cases of HP and 20 cases of IS had been treated by Chinese drugs for activating blood and relieving stasis and for invigorating Yang or replenishing Yin,it was found that the hemorheological deviations were corrected.Most cases of other three groups transmitted into the group of both Qi Xu and Yin Xu,a milder case,the blood pressure dropped in 93.5% of the HP patients.These results are assumed to be of some help to treating HP and IS,and provide some useful experimental data for the exposition of Yin-Yang theory in TCM.
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