多系统萎缩48例证候特征分析
时间: 2015-09-27 13:14:00 作者:宋春侠; 邹忆怀; 王国相; 郭改会; 顾卫红

    【摘要】 [目的]探讨多系统萎缩的证候特征。[方法]依据Gilman等提出的多系统萎缩诊断标准,采集48例多系统萎缩患者初诊时的中医四诊资料,分析证候特征。[结果]主要症状和体征是起则头晕,走路不稳,言语慢无底气,言语不清,易怒,汗出异常,阳痿,二便失调,腰腿冷凉乏力,面色萎黄,唇色暗,舌质暗,苔腻,脉滑、细、弱。[结论]本病病机特点是五脏亏虚以肝脾肾为著,虚实挟杂贯穿于疾病发展过程中,阳虚气陷为本病之转归;主要证候类型为脾肾阳虚,痰湿内阻;肝肾亏虚,瘀血阻滞;阳虚气陷。 


    【英文摘要】 [Objective] To explore the characteristics of syndrome of multiple system atrophy. [Methods] According to the diagnosis standard of multiple system atrophy described by Gilman etc. using the cross section method, the Chinese medicine information of 48 firstly diagnosed patients with multiple system atrophy were collected and their characteristics of syndrome were analyzed. [Results] The main symptoms and signs included dizziness when standing up, walking unsteadily, talking slowly and weakly, slurred speech...

 

    【正文快照】 多系统萎缩(MSA)是一组进行性的神经系统变性疾病,临床症状复杂,主要表现为植物神经功能障碍、帕金森病、共济失调和锥体系功能损害,按照不同的症状组合形式可分为3型:帕金森型(MSA-P)、橄榄—桥脑—小脑萎缩型(MSA-C)和Shy-Drager综合征型(MSA-A)。国际上对本病已展开多方面研