Objective To analyze the correlations among stroke evolution deficiency syndromes features and prognosis. Methods Evolution characteristics of the syndrome and the correlation with prognosis of 50 cases of stroke patients after the onset of 72 h, 3 d, 7 d, 14 d, 28 d, 90 d were retrospectively analyzed. Results The early onset of stroke, performance within wind syndrome was the most obvious, proportion after 3 d was lower. Within the ifre certiifcate, phlegm and blood stasis syndrome were higher proportions at different time points. Qi deficiency syndrome proportions were relatively lower at different time points. Univariate analysis, qi deifciency syndrome, phlegm, phlegm continuous group NIHSS scores were signiifcantly higher, BI scores were signiifcantly lower (P<0.01). Conclusion Stroke deifciency syndromes is associated with prognosis, qi deifciency syndrome and phlegm as independent prognostic factors, should accurately evaluate syndromes, symptomatic treatment.%目的：分析中风病虚实证候演变特征及与预后的相关性。方法回顾性分析中风病例50例发病后72 h、3 d、7 d、14 d、28 d、90 d的证候演变特征及与预后相关性。结果中风发病初期，内风证表现最为明显，3 d后比例降低；内火证、痰湿证与血瘀证在不同时间点的比例均较高；气虚证在不同时间点的比例相对较低。单因素分析，气虚证、痰热、痰热持续组NIHSS评分均较高，BI评分均较低（P＜0.01）。结论中风病虚实证候与患者预后相关，气虚证及痰热为预后的独立危险因素，应准确评价证候，对症治疗。
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