The Analysis Of The Construction Of Cerebral Infarction At Convalescence And Risk Factors

Objective: Under the instruction of theory of preventive treatment, this thesis aims to investigate the distribution of traditional Chinese medicine constructions for cerebral infarction at convalescence patients, as well as to explore the correlation between the constructions of cerebral infarction at convalescence patients and the risk factors, in order to provide evidence for the clinical targeted prevention and treatment of cerebral infarction.Methods: According to the admission criterion, exclusion criteria and elimination criteria, 523 inpatients who are confirmed as cerebral infarction at convalescence patients from 6 hospitals including Shandong traditional Chinese medicine hospital, Weifang traditional Chinese medicine hospital, Taian traditional Chinese medicine hospital, Weihai traditional Chinese medicine hospital, Penglai traditional Chinese medicine hospital and Rencheng district traditional Chinese medicine hospital are arranged to fill the questionnaire which includes gender, age, central obesity and other general conditions, sleeping state, staying up late, exercise, smoking, drinking, diet partial addicted lifestyle and history of hypertension, history of heart disease, history of diabetes mellitus, history of dyslipidemia, history of stroke, etc. The Classification And Decision Table of Traditional Chinese Medicine Constructions(ZYYXH/T157-2009) is also applied to determine the type of traditional Chinese medicine constructions. The statistical software SPSS17.0 is at last used to do the statistical analysis. The distribution of construction types is expressed by frequency distribution. And the correlation between the constitution of qi asthenia, constitution of phlegm-dampness and the risk factors is managed by chi-square test and Multivariate logistic regression analysis.Results:1.The distribution of the constructions for cerebral infarction at convalescence patients is: constitution of qi asthenia(21.80%), constitution of phlegm-dampness(20.84%), constitution of blood stasis(14.72%), constitution of yin asthenia(13.19%), constitution of qi stagnation(8.80%), constitution of yin-yang harmony(8.03%), constitution of yang asthenia(5.93%), constitution of damp-heat(5.54%) and allergic constitution(1.15%).2.After the chi-square test, between the constitution of qi asthenia and non-constitution of qi asthenia, there lies statistical discrepancy(P<0.05 or P<0.01) for the distribution of gender, age, sleeping state, staying up late, smoking, history of heart disease and low/high-density lipoprotein(LDL-c). Between the constitution of phlegm-dampness and the non-constitution of phlegm-dampness, there lies statistical discrepancy(P<0.05 or P<0.01) for the distribution of exercise, greed for grease and fatness, high TG, high TC, high LDL-c and history of stroke.3. After the Multivariate logistic regression analysis, the risk factors closely related to the cerebral infarction at convalescence patients who belong to the constitution of qi asthenia is followed in descending order by odds ratio(OR) as: bad sleeping state, staying up late, smoking, age from 60 to 74 and history of heart disease. And the risk factors closely related to the cerebral infarction at convalescence patients who belong to the constitution of phlegm-dampness is followed in descending order by OR as: never or sometimes exercising, high TC and greed for grease and fatness.Conclusion:1.Theconstitution of qi asthenia and the constitution of phlegm-dampness are the main construction types in the traditional Chinese medicine construction for cerebral infarction at convalescence patients.2. The discrimination of the construction for cerebral infarction patients so as to make targeted interventions to risk factors as well as to make construction conditioning is the effective way of secondary prevention of cerebral infarction.