基于缺血性中风后认知功能减退神经心理特征的证候要素动态分析

赵振武; 谢颖桢; 孟繁兴; 马洪明

doi:10.13288/j.11-2166/r.2010.03.010

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基于缺血性中风后认知功能减退神经心理特征的证候要素动态分析

证的研究 | 更新时间：2021-11-17

- 基于缺血性中风后认知功能减退神经心理特征的证候要素动态分析
- Dynamic Analysis of TCM Syndrome Elements Based on the Neuropsychological Characteristics of Cognitive Function Impairment after Ischemic Stroke
- 中医杂志 2010年51卷第3期页码：256-258
- 作者机构：
  
  1. 北京中医药大学东直门医院神经内科
  2. 北京中医药大学东方医院
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2010.03.010
  中图分类号： R255.2
- 纸质出版：2010
- 稿件说明：
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[1]赵振武,谢颖桢,孟繁兴,马洪明.基于缺血性中风后认知功能减退神经心理特征的证候要素动态分析[J].中医杂志,2010,51(03):256-258.

ZHAO Zhenwu1, XIE Yingzhen1, MENG Fanxing2, et al. Dynamic Analysis of TCM Syndrome Elements Based on the Neuropsychological Characteristics of Cognitive Function Impairment after Ischemic Stroke[J]. Journal of Traditional Chinese Medicine2010, 51(3): 256-258.
[1]赵振武,谢颖桢,孟繁兴,马洪明.基于缺血性中风后认知功能减退神经心理特征的证候要素动态分析[J].中医杂志,2010,51(03):256-258. DOI： 10.13288/j.11-2166/r.2010.03.010.

ZHAO Zhenwu1, XIE Yingzhen1, MENG Fanxing2, et al. Dynamic Analysis of TCM Syndrome Elements Based on the Neuropsychological Characteristics of Cognitive Function Impairment after Ischemic Stroke[J]. Journal of Traditional Chinese Medicine2010, 51(3): 256-258. DOI： 10.13288/j.11-2166/r.2010.03.010.

摘要

目的依据缺血性中风后认知功能减退的神经心理特征分析证候要素的演变特点。方法对新发脑梗死非痴呆入院患者筛选后应用简易智能状态检查量表（MMSE）和蒙特利尔认知评估量表（MoCA）（北京版）动态多时点评定认知功能把握特征后分组

比较组间各时点诊断成立的证候要素频数。结果与卒中后认知功能减退密切相关的时点与证候要素为发病第3天（火、阴虚）、第7天（阴虚）、第1月（火、痰、瘀）和第3月（火、痰、瘀、气虚、阴虚）。结论缺血性中风后认知功能减退的神经心理特征与证候要素及其演变组合密切相关。

Abstract

Objective To analyze dynamic features of TCM syndrome elements according to the neuropsychological characteristics of cognitive function impairment after ischemic stroke.Methods The hospitalized cerebral infarction patients without dementia were evaluated dynamically with the mini-mental state examination （MMSE） and Montreal Cognitive Assessment （MoCA）（Beijing Version） after IQCODE screens at different phase points.And they were divided into groups according to the severity of cognitive function impairment.The occurring frequency of TCM syndrome elements at all phase points for diagnosis was compared.Results The phase points and TCM syndrome elements closely related with the cognitive function impairment after ischemic stroke were as following:the 3rd day with fire and yin deficiency

the 7th day with yin deficiency

the 1st month with fire

phlegm

and blood stasis

and the 3rd month with fire

phlegm

blood stasis

qi deficiency

and yin deficiency.Conclusion The neuropsychological characteristics of cognitive function impairment of ischemic stroke are closely related with TCM syndrome elements and their evolvement as well as their different combinations.

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