【作者】 路玉良；

【导师】 丁元庆；

【作者基本信息】 山东中医药大学 ， 中医内科学， 2010， 硕士

【摘要】 目的：探索中风病痰热证的影响因素及其相互关系,构建痰热引发中风病的病因模型,为“痰热致中”的预防研究奠定基础。方法：采集临床中风病患者的相关信息,运用统计学方法对患者的症状、病史及相关资料进行分析,筛选中风病痰热证的危险因素,并运用通径分析评价其相关性。结果：年龄、性别、工作强度大、工作压力大、咸食、肥腻、烟酒、鼾眠、肥胖、高脂血症病史、高血压病史等是中风病痰热证的危险因素,其中绝经、高脂血症病史、肥胖、工作强度大、咸食是主要危险因素,并且两两之间存在相关性。结论：“痰热致中”的病因模型：不良工作习惯(作息不规律、工作压力大、工作强度大)和不良生活方式(饮食不节、睡眠障碍、缺少运动)引发了代谢综合征(主要是高脂血症、肥胖),从而酿生痰热,在真元亏虚、肝木失和的基础上,痰热上扰,痹阻经脉,影响了脑髓,是为“痰热致中”,45岁以后,特别是绝经女性是高危人群。更多还原

【Abstract】 Objective:Discover the factors lead to phlegm-heat stroke and the relations among them, to build etiologic model of phlegm-heat stroke and lay the foundation for the prevented research on the "phlegm-heat-induced stroke". Methods:We collected the information of clinical stroke patients, analyzed the patient’s symptoms, medical history and related data by statistical methods, filtered risk factors of phlegm-heat stroke and evaluated its relativity. Results:There were several risk factors of phlegm-heat stroke, such as age, sex, work intensity, work pressure, salty, fatty, alcohol and tobacco, poor lifestyle, snoring sleep, obesity, history of hyperlipidemia, history of hypertension. Then, menopause, history of hyperlipidemia, obesity, work intensity, salty were the main risk factors, and there were relativity between them. Conclusion:The etiologic model of "phlegm-heat-induced stroke" is:bad work habits (irregular work and rest, work pressure, work intensity) and poor lifestyle (bad recipes diet, sleep disorders, lack of exercise) lead to the metabolic syndrome (high-lipemia, obesity), which caused phlegm-heat.Phlegm-heat caused " phlegm-heat stroke ". Women over 45 years of age, especially in post-menopausal were High-risk groups.更多还原