脑卒中后便秘的中医证型及多因素分析

Analysisof TCM syndrome type and multiple factors for patient with

constipationafter stroke

吴巧珑¹  苏 淋²

（1.广东燕岭医院，广东  广州，510507；2.广州市番禺区大龙街社区卫生服务中心，广东  广州，511450）

中图分类号：R242   文献标识码：A    文章编号：1674-7860(2015)27-0014-03   证型：BGA

【摘  要】目的：探讨脑卒中后便秘的中医证型及分析相关因素，提高预防的针对性和有效性。方法：对100例脑卒中后患者分为便秘组68例、无便秘组32例，根据《慢性便秘中医诊疗共识意见》进行中医证型统计，采集人口学因素（性别、年龄、民族、婚姻等）、发病前排便情况、饮食方式、脑卒中类型和部位、治疗用药情况等35项指标，进行单因素优势比（OR）分析和多因素Logistic回归分析。结果：中医证型以肺脾气虚型比例最高，单因素分析显示女性、高龄、出血性脑卒中、基底神经节区病变、应用抗抑郁药患者便秘多发率较高，Logistic分析显示性别、年龄、卒中类型、治疗中应用抗抑郁药为便秘的独立相关因素。结论：脑卒中后便秘中医证型以肺脾气虚型多见，性别、年龄、卒中类型、治疗中应用抗抑郁药是影响便秘的独立因素，临床用药治疗要考虑上述因素。

【关键词】脑卒中后便秘；中医证型；多因素分析

【Abstract】Objective: To investigate the TCM syndrometype in constipation after stroke and the related factors in order to improvethe pertinence and effectiveness of prevention. Methods: TCM Syndromes ofchronic constipation for 100 cases of post-stroke patients with habitualconstipation of after TCM diagnosis and treatment according to the statisticsof "consensus" is analyzed and their t their demographic factors(gender, age, nationality, marriage, etc.) before the onset of defecation, diet,stroke type and position, treatment of 35 indicators, univariate odds ratio(OR) is collected and logistic analysis and multi factor regression analysis isdone. Results: the TCM syndrome type of lung and spleen deficiency type occupythe highest proportion, the single factor analysis showed that age, female,hemorrhagic stroke, basal ganglia lesions, application of antidepressants inpatients with constipation multiple rate is higher, Logistic analysis showed thatgender, age, type of stroke, the treatment using antidepressants wereindependent factors for constipation. Conclusion: Stroke prone to constipation,lung and spleen deficiency of TCM. Application of antidepressant drugs, sex, age,type of stroke treatment were independent factors influencing constipation.

【Keywords】Constipation after stroke; TCM syndrome; Multiplefactors analysis

doi:10.3969/j.issn.1674-7860.2015.27.006

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