中华脑血管病杂志(电子版) ›› 2024, Vol. 18 ›› Issue (05) : 454 -458. doi: 10.11817/j.issn.1673-9248.2024.05.008 × 扫一扫
临床研究
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Yue Yu1, Yuan Wang1, Muhui Sang1, Qin Shi1,†()
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俞悦, 王缘, 桑穆惠, 时钦. 基于眩晕病病机证素辨证诊断量表分析眩晕病病机证素分布规律[J]. 中华脑血管病杂志(电子版), 2024, 18(05): 454-458.
Yue Yu, Yuan Wang, Muhui Sang, Qin Shi. Analysis of vertigo pathogenesis syndrome element distribution using a vertigo syndrome differentiation scale[J]. Chinese Journal of Cerebrovascular Diseases(Electronic Edition), 2024, 18(05): 454-458.
目的
研究基于眩晕病机证素辨证诊断量表分析眩晕病病机证素分布规律。
方法
回顾性分析2021 年3 月至2023 年3 月期间江阴市中医院脑病科235 例眩晕病患者问卷调研资料，采用χ2 检验统计分析不同年龄（青年组与中老年组）、性别的眩晕病患者病机证素分布情况，并统计病位证素以及证素组合的分布规律。
结果
眩晕病病机证素频率依次为阴虚（25.96%）、血瘀（16.60%）、痰浊（16.60%）、气虚（13.62%）、血虚（10.64%）、风（6.81%）、阳亢（5.11%）、火（2.98%）、气滞（1.70%）。青年组阴虚、痰浊、气虚、血虚、风、阳亢、火、气滞率与中老年组比较，差异均无统计学意义（P 均＞0.05），青年组血瘀率低于中老年组（5.38% vs 23.94%），差异具有统计学意义（χ2=13.996，P＜0.001）。男性阴虚、血瘀、痰浊、气虚、血虚、风、阳亢、火、气滞率与女性比较，差异均无统计学意义（P 均＞0.05）。病位证素频率依次为肾（45.66%）、脾（21.39%）、肝（19.65%）、胆（6.94%）、心（2.89%）、胃（2.31%）、肺（1.16%）。证素组合主要集中在两证素组合、三证素组合，前3 位依次是单一病机证素+单一病位证素（40.85%）、两病机证素（21.70%）、单一病机证素+两病位证素（17.87%）。
结论
眩晕病的病机证素主要为阴虚、血瘀、痰浊、气虚，病位证素主要为肾、脾、肝，证素组合以两证素组合、三证素组合最为常见，血瘀多见于中老年患者。
Objective
To analyze the distribution patterns of pathogenesis syndrome elements in patients with vertigo， based on the principles of syndrome differentiation and diagnosis.
Methods
Retrospective collection of questionnaire survey data from 235 patients with vertigo in the Department of Cerebrology of Jiangyin Traditional Chinese Medicine Hospital from March 2021 to March 2023 was conducted. χ² tests were utilized for statistical analysis of the distribution of pathogenesis and syndrome elements across different age and gender groups， and the patterns of disease location and syndrome element combinations were examined.
Results
The frequency of syndrome elements in pathogenesis appeared in the following frequency: yin deficiency （25.96%）， blood stasis （16.60%）， phlegm turbidity （16.60%）， qi deficiency（13.62%）， blood deficiency （10.64%）， wind （6.81%）， hyperactivity of yang （5.11%）， fire （2.89%）， and qi stagnation （1.70%）. There were no significant differences in the rates of yin deficiency， phlegm turbidity， qi deficiency， blood deficiency， wind， hyperactivity of yang， fire， and qi stagnation between the younger group and the middle-aged and elderly group （P＞0.05）. However， the rate of blood stasis in the young group was significantly lower than that in the middle-aged and elderly group （5.38% vs 23.94%， χ2=13.996， P＜0.001）.The rates of yin deficiency， blood stasis， phlegm turbidity， qi deficiency， blood deficiency， wind， hyperactivity of yang， fire， and qi stagnation in men were not statistically significant compared with those in women （P＞0.05）. The frequency of disease location syndrome elements is kidney （45.66%）， spleen （21.39%）， liver （19.65%），gallbladder （6.94%）， heart （2.89%）， stomach （2.31%）， and lung （1.16%） in turn. The combination of syndrome elements mainly focuses on the combination of two syndrome elements and three syndrome elements. The first three syndromes are single pathogenesis syndrome element+single target （40.85%）， two pathogenesis syndrome elements （21.70%） and single syndrome element+two target （17.87%） in turn.
Conclusion
The pathogenesis syndrome elements of vertigo are mainly yin deficiency， blood stasis， phlegm turbidity， and qi deficiency， and the disease location syndrome elements are mainly kidney， spleen and liver. Dual and triple syndrome element combinations are the most frequent， and blood stasis is more prevalent in middle-aged and elderly patients.