首页|期刊导航|现代中医药|王晓玲主任医师对不同中医体质脑出血高危人群筛查及湿热体质干预经验探析

王晓玲主任医师对不同中医体质脑出血高危人群筛查及湿热体质干预经验探析OA

Analysis on the experience of screening and intervention of damp heat physiques by Chief Physician Wang Xiaoling on high-risk groups of people with cerebral hemorrhage in different traditional Chinese medicine constitutions

中文摘要英文摘要

目的 基于王晓玲主任医师团队不同中医体质脑出血高危人群的筛查方案,分析脑出血高危人群的中医体质分布情况,不同中医体质类型的脑出血高危人群主要危险因素,总结湿热体质脑出血高危人群的临床干预经验,为卒中防治提供参考.方法 纳入 2021 年 7 月至 2023 年 12 月在安康市中医医院行卒中筛查的脑出血高危患者 846 例,收集患者一般资料、中医体质类型及高危因素,采用描述统计对所有患者中医体质及高危因素分布情况进行分析;同时对王晓玲主任医师干预湿热体质脑出血高危人群的临床经验进行总结分析.结果 共计纳入脑出血高危患者 846 例,其中医体质分布由高到低依次为湿热质>痰湿质>阴虚质>血瘀质>气虚质>阳虚质>气郁质>平和质>特禀质,其中湿热质、痰湿质、阴虚质、血瘀质和气虚质占比达 90.2%;脑出血高危人群中具有高血压、运动缺乏、肥胖、卒中家族史及卒中史的患者多表现为湿热质和痰湿质,具有吸烟、血脂异常及心脏疾病的患者多表现为湿热质和血瘀质,具有糖尿病和环境心理因素的患者多表现为湿热质和阴虚质;湿热体质脑出血高危人群各项卒中危险因素占比均偏高.结论 脑出血高危人群最常见的5 种中医偏颇体质依次为湿热质、痰湿质、阴虚质、血瘀质和气虚质;湿热体质是脑出血高危人群最主要的偏颇体质;王晓玲主任医师团队自拟"平肝降浊方"用于湿热体质的脑出血高危人群干预临床疗效确切,其作用机制有待进一步研究.

Objective Based on the screening schemes of different groups of people with high risk of cerebral hemor-rhage in chief physician Wang Xiaoling's team,we analyze the distribution of Chinese medicine constitution in high-risk groups in high-risk groups in cerebral hemorrhage,and the main risk factors of high-risk groups in high-risk groups in differ-ent types of Chinese medicine constitutions were summarized,and the clinical intervention experience of high-risk groups in high-risk groups in damp heat constitution was summarized to provide reference for stroke prevention and treatment.Meth-ods 846 high-risk patients with high-risk cerebral hemorrhage who were screened for stroke at Ankang Traditional Chinese Medicine Hospital from July 2021 to December 2023 were included.General information of patients,type of traditional Chi-nese medicine constitution and high-risk factors were collected,and descriptive statistics were used to analyze the distribu-tion of traditional Chinese medicine constitution and high-risk factors in all patients;at the same time,the clinical experi-ence of Chief Physician Wang Xiaoling's intervention in high-risk cerebral hemorrhage at the high-risk group of damp heat constitution was summarized and analyzed.Results A total of 846 high-risk patients with cerebral hemorrhage were includ-ed,among which the distribution of medical physiques was damp heat and phlegm and dampness>yin deficiency>blood sta-sis>qi deficiency>yang deficiency>qi depression>calmness>special quality,among which the proportion of damp heat,phlegm and dampness,yin deficiency,blood stasis and qi deficiency was 90.2%;among the high-risk groups with hyperten-sion,exercise deficiency,obesity,family history of stroke and stroke,most of the stroke risk factors of damp heat and phlegm and dampness were manifested as damp heat and phlegm and dampness,and most of the patients with smoking,dyslipidemia and heart disease were manifested as damp heat and blood stasis,and most of the patients with diabetes and environmental psychological factors were manifested as damp heat and yin deficiency;the proportion of stroke risk factors for high-risk groups with damp heat and cerebral hemorrhage was relatively high.Conclusion The five most common types of Chinese medicine biased constitutions in high-risk groups for people with high risk of cerebral hemorrhage are damp heat,phlegm and dampness,yin deficiency,blood stasis and qi deficiency;damp heat constitution is the most important biased constitu-tion for people with high-risk cerebral hemorrhage;Chief Physicians Wang Xiaoling's team has formulated the"Pinggan and Zhu Zhu Zhu Prescription"for people with high-risk cerebral hemorrhage with high-risk cerebral hemorrhage with accurate clinical efficacy,and its mechanism of action needs to be further studied.

王凯;唐勇;陈亮;王晓玲;陈向荣;范小璇;卜圆齐

安康市中医医院脑病科,陕西 安康 725000安康市中医医院脑病科,陕西 安康 725000安康市中医医院脑病科,陕西 安康 725000安康市中医医院脑病科,陕西 安康 725000安康市中医医院神经外科,陕西 安康 725000陕西中医药大学 陕西 咸阳 712000陕西中医药大学 陕西 咸阳 712000

医药卫生

脑出血高危人群中医体质湿热体质干预

cerebral hemorrhagehigh-risk populationtraditional Chinese medicine constitutiondamp and heat constitutionintervention

《现代中医药》 2026 (2)

30-35,6

陕西省科技厅重点研发计划项目(2025SF-YBXM-484)陕西省中医药科技创新计划项目(2025-CXRC-30)陕西省科学技术协会青年人才托举计划项目(20230338)安康市青年科技新星项目(AK2023PD-KJXX-03)陕西省中医脑病临床医学研究中心建设项目(陕科社发[2017]176号)

10.13424/j.cnki.mtcm.2026.02.007

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