赵江鹏 朱文浩 周莉 高颖

摘要：目的探讨吸烟与中风病中医证候的相关性。方法制定调查表，由临床中医师采集中风病患者的临床资料并辨证，然后双人、双盲录入到数据库，导出数据后统计分析。将中风病患者分为吸烟组和非吸烟组，分别对两组的中医证候进行统计分析。结果吸烟组中风病患者年龄（64.7±0.7）岁，小于非吸烟组（69.5±0.5）岁，吸烟组中风病患者风痰阻络证的比例（61.4%），高于非吸烟组（51.9%）。结论吸烟使中风病的发病年龄提前，与中风病风痰阻络证的形成有关。

关键词： 中风病;吸烟;风痰阻络证;发病年龄

中图分类号：R743R255文献标识码：A

doi：10.3969/j.issn.16721349.2015.01.018

文章编号：16721349（2015）01004804

Correlation between Smoking and Traditional Chinese Medicine Syndromes in Stroke

Zhao Jiangpeng，Zhu Wenhao，Zhou Li，Gao Ying

Beijing Huairou Hospital of Traditional Chinese Medicine， Beijing 101400，China

Corresponding Author：Gao Ying（Dongzhimen Hospital， Beijing University of Chinese Medicine，Beijing 100700，China）

Abstract：ObjectiveTo study the correlation between smoking and traditional Chinese medicine（TCM）syndromes of stroke.MethodsThe clinical data was collected by the doctor of TCM according to the table developed before the study.The data was entered into database by the way of double blind and then exported into an excel table for analyzing.The patients were divided into smoking group and nosmoking group， and the correlation between smoking and TCM syndromes of stroke was analyzed.ResultsThe age of stroke patient in smoking group was younger than that in nosmoking group.The rate of windphlegm syndrome in smoking group was higher than that in nosmoking group.ConclusionSmoking people sufferd stroke was yonger than those nosmoking， and was susceptible to windphlegm syndrome.

Key words：stroke;smoking;wind phleg syndrome;age

腦卒中又称“中风”，是多种脑血管疾病的严重表现形式，具有较高的发病率、致残率和致死率，是当今世界危害人类生命健康的最主要疾病之一[1]。脑卒中在我国农村居民死因中占第一位（23.37%），在我国城市居民死因中占第三位（20.23%）[2]。流行病学证据表明，吸烟是脑梗死、短暂性脑缺血发作、脑出血和蛛网膜下腔出血等脑血管疾病的危险因素[35]，但吸烟与中风病中医证候的关系，未见报道。本研究对吸烟与中风病中医证候的关系进行研究，为吸烟引起的中风病的中医药防治提供依据。

1资料与方法

1.1病例来源2011年6月—2012年12月在“公益性行业科研专项——中医防治中风病技术转化与社区推广研究”的13个临床研究中心（北京中医药大学东直门医院、安徽中医学院第一附属医院、长春中医药大学附属医院、佛山市中医院、江门市五邑中……