170例中老年急性脑梗死证候特点分析

目的：通过170例中老年急性脑梗死患的临床证候分析，比较中年和老年该病患证候特点的异同。方法：将所有病例按年龄分为中年组和老年组，分别统计其症状、舌脉表现，并进行辨证分型。结果：两组均以气虚血瘀证候突出。老年组常数证合并出现，而中年组证候则相对较单纯。结论：气虚和血瘀无论在中年或老年脑梗死患的发病中还是病理机制中都起着重要的作用。老年人气虚血瘀，为素体已虚，致内邪滋生，包括瘀血；而中年人之气虚血瘀，为素体偏实，瘀血内生，气虚常作为诱发因素而存在。

SYNDROME CHARACTERISTICS OF 170 MIDDLE AGED AND SENILE PATIENTS WITH ACUTE CEREBRAL INFARCTION

Objective:To investigate the differences of syndrome characteristics between middle aged and senile patients with acute cerebral infarction by comparing clinic symptoms and syndromes in 170 patients with the disease. Method: All the patients were divided into the middle aged group or the senile group according to their age. Then the symptoms, condition of tongues and pulses were recorded, and the different types of syndromes were differentiated. Result: The syndromes of deficiency of Qi & blood stasis were the most in both groups. Several syndromes were often occurred together in the senile group ,but single syndrome in the middle aged group. Conclusion: Both deficiency of Qi & blood stasis plays important role in the pathogenesis & pathologic change of both middle aged and senile patients with the disease. But in senile patients, the deficiency of Qi & blood stasis is caused by deficiency of constitution that can lead to endogenous noxious factors produced, which include blood stasis. In middle aged patients, the blood stasis is mostly caused by excessive pathogenic factors and deficiency of Qi is the predisposing cause of the disease.