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目的:探讨动脉瘤性蛛网膜下腔出血患者发病时间特点以指导防治。方法:采集患者具体发病日期及其对应节气以及患者在24h内发病时间点及对应12时辰。结果:24节气秋分20例(7%),寒露19例(6.6%),立冬16例(5.6%),大雪15例(5.2%),大寒13例(4.5%),从立秋至大寒之间与立春至处暑比较,前者发病率明显高于后者(P<0.05)。十二天干:巳时33例(14.2%),申时29例(12.4%),辰时26例(11.2%),酉时24例(10.3%)最低为寅时5例(2.1%),与12经脉子午流注图对应发现发病率最高的两个时辰分别对应足太阴脾经及足太阳膀胱经。结论:风、寒、燥邪可以导致aSAH发病率的显著增加,可考虑从足太阳膀胱经论治aSAH。
Objective: To investigate the onset time of patients with aneurysmal subarachnoid hemorrhage to guide the prevention and treatment. Methods: The patients were collected on the specific date of onset and its corresponding solar terms and the onset time of patients within 24 hours and the corresponding 12 o’clock. Results: 24 cases of solar term were found in 20 cases (7%), 19 cases of cold dew (6.6%), 16 cases of early winter (5.6%), 15 cases of heavy snowfall (5.2%) and 13 cases of cold (4.5% Compared with the beginning of spring to summer, the incidence of the former was significantly higher than the latter (P <0.05). Twelve days were dry: 33 cases (14.2%), 29 cases (12.4%), 26 cases (11.2%) and 24 cases (10.3% Flow chart corresponding to the highest incidence of two hour found corresponding foot spleen and foot full sun bladder. Conclusion: The wind, cold, dry evil can lead to a significant increase in the incidence of aSAH can be considered from the foot of the bladder by aSAH.