癫痫中医证候相关因素调查论文.docVIP

　　癫痫中医证候相关因素调查论文 .freeles and the main trend in epilepsy, and search a needicine in treatment of epilepsy. Methods A scale for observation ulated and the influences of relevant factors on TCM syndromes es had no statistical significance differences (P 0.05) in sex, attack frequency, cause of disease, MRI and EEG among 202 patients. The TCM syndrome of excess ain type of child patients, on in middle-aged and old patients, and they had prominent statistical significance (P 0.01). Course of disease,.freeles. Conclusions Most important t types are and phlegm fire disturbing upper body in epilepsy. All TCM syndromes have no statistical significance (P 0.05) in sex, attack frequency, cause of disease, MRI and EEG. The excess type is mon in children, and the deficiency in liver and kidney type is usual in middle-aged and the elderly. Long disease course manifests deficiency or deficiency mixed es, ainly shoes. Earlier age of onset manifests deficiency or deficiency mixed es, and onset in youth and middle age often shoes. Discharge location in temporal lobe is often of type, fire disturbing upper body type. RI、视频脑电图检查及中医症状观察。参照中医癫痫病证分类标准及临床症状将202例患者分为五个证候：风痰内阻证、痰火上扰证、脾虚痰盛证、心脾两虚证、肝肾阴虚证。以此五证为中心分别与如上观察指标进行统计分析。 1.4 统计学方法 计数资料用卡方检验,计量资料用方差分析。P 0.05为有统计学意义。 2 结果 202例患者中风痰内阻证65例(32.2%),痰火上扰证59例(29.2%),脾虚痰盛证31例(15.3%),心脾两虚证29例(14.4%),肝肾阴虚证18例(8.9%)。癫痫中医证候与相关因素的关系见表1、表2。表1 不同中医证候癫痫患者的一般情况比较（略）注：与脾虚痰盛证比较,**P 0.01；与肝肾阴虚证比较,▲P 0.01；与痰火上扰证比较,△P 0.05；△△P 0.01；与心脾两虚证比较,#P 0.01。表2 不同相关因素在中医证候中的分布比较（略）注：与1～10岁比较,#P 0.05；与颞叶放电比较,*P 0.01；与全面放电比较,▲P 0.01；与全面发作比较,△△P 0.01。 3 讨论 3.1 中医证候与性别的关系 流行病学研究表明其发病与性别有很大关系,导致癫痫患者男性多于女性。我们观察的病例中男女比例为1.97∶1,与以往文献报道4基本相似。各证候之间男女比例差异无统计学意义,说明在证候分布上男女之间无特殊的选择性,服从癫痫总体男女分配比例。 3.2 中医证候与年龄的关系 本研究调查对象年龄为3～83岁,呈偏态分布,中位数为24岁,以青年及少年多见,同于以往调查1,5。观察对象中30岁以下患者占63.9%,反映了癫痫患者群的特点,脾虚痰盛以少年儿童多见,肝肾阴虚以中老年人多见。中医认为,小儿“脾常不足”,加之饮食尚不知自节,极易损伤脾胃,脾阳被遏,不能升清降浊,聚湿蕴痰,酿成癫痫发病的内因。脾虚痰伏乃小儿癫痫的主要病理基础。故平素可见纳少、倦怠乏力、便溏面黄,发作时突发意识短暂不清、口吐痰涎,伴眩晕、胸脘痞闷,舌质淡、苔白腻或白厚腻,舌胖大、可有齿痕,脉多弦滑或细滑。随着年龄的增长,肾