中風神昏病人閉脫陰陽辨證與轉歸的臨床觀察

THE CORRELATION BETWEEN BLOCKDESERTION- YIN-YANG PATTERN IDENTIFICATION AND PROGNOSIS IN STROKE PATIENTS WITH CONSCIOUS DISTURBANCE

目的：經由中風神昏病人的臨床觀察，評估中醫辨證與轉歸的相關性。方法：前瞻性觀察型研究。亞東紀念醫院內科加護病房及神經內科病房診為中風併有意識障礙且告以病危通知的病患，發病一週以內者，共55人。記錄中醫辨證（閉脫辨證和腦部陰陽辨證）及追蹤預後，統計分析預後和中醫辨證的相關性。結果：閉脫辨證的預後由好到差依序為閉證、閉脫混合證、脫證。閉脫混合證預後差的機率是閉證的39倍，脫證預後差的機率是閉證的58.5倍，達統計顯著差異。結論：閉脫陰陽辨證的預後由好到差有差異的為偏陽閉、閉脫混合證、脫證偏陰證。The purpose of this study was to evaluate the correlation between pattern identification and prognosis in stroke patients with conscious disturbance. Fifty-five critical stroke patients with conscious disturbance and having onset within 1 week were enrolled from the medical intensive care unit and neurological ward of Far Eastern memorial hospital for a prospective observational study. The results demonstrated that the prognoses from good to poor are block pattern, block-desertion mixed pattern, and desertion pattern in block-desertion pattern identification. The significant prognoses from good to poor are yang block pattern, block-desertion mixed pattern, and yin type of desertion pattern in block-desertion-yin-yang pattern identification. Larger groups of patients are necessary to draw the conclusion.