Cerebral Infarction Of Traditional Chinese Medicine With MSCT Perfusion Imaging Studies

Objective Cerebral infarction is a common disease and frequently- occurring disease in middle-aged and old people in our country, and has the trend of increased year by year, the incidence of cerebral infarction cerebral infarction mortality is higher, not only bring great pain to the patients and patients’ families, but also brought great harm to society and family. Cerebral infarction is the hotspot and focus of the study, scholars both at home and abroad but in research reports related to the imaging is less, because its research focus is in the patients with cerebral infarction is the relevance of the classification of traditional Chinese medicine and the physical and chemical index of domestic research focus in recent years. Acute cerebral infarction belong to the category of "stroke" of traditional Chinese medicine, Chinese medicine clinical dialectical classification will be divided into the channels and collaterals card and card of the viscera. CT is a kind of examination method of modern medicine in humans, is very common, CT not only convenient, fast, and the density of the image also has the very high resolution, and the use of contrast enhanced scan, not only improve the discovery rate of the pathological change, some cases but also can make the qualitative diagnosis. Using the modern medical technology of CT perfusion imaging on cerebral infarction between each kind of this syndrome is analyzed, the difference of the research on the CT imaging characteristics of cerebral infarction and perfusion index between the classification of traditional Chinese medicine and related laws, the Chinese medicine "certificate" and the corresponding image features, reach the objectification and standardization, provide objective basis for the disease diagnosis and treatment.Methods Collected from June 2013- December 2014 hospitalized cases and parts of outpatient cases, according to the clinical diagnosis or patients symptoms found in patients with cerebral infarction, or by other imaging examination found that large area or in the area of cerebral infarction, short-term adept surgery, pathologic diagnosis. Row CT scan + perfusion scanning, recorded in detail the imaging features, including size, number of lesions, density, and perfusion parameters of infarction(blood flow, blood volume, surface permeability, average through time), at the same time by experienced doctors of traditional Chinese medicine through the inspection, auscultation and olfaction, inquiry, and pulse-taking and palpation this case on the dialectical classification data collected.Result This topic has collected 80 patients diagnosed as cerebral infarction, wind phlegm obstruction of collaterals type 32 cases, 28 cases of liver Yang BaoKang type, qi deficiency and blood stasis type 6 cases, 9 cases of Yin deficiency type pneumatic and phlegm heat relieving excess type in 5 cases. Qi depression phlegm obstruction type of multiple nodules, and heart Yin deficiency type single nodule. Cerebral infarction on CT signs of five kinds of classification of traditional Chinese medicine and the density of lesions without statistical significance. Lesions in the presence of calcification and thyroid nodule four card type was statistically significant, qi depression phlegm obstruction type lesions in the imaging findings of without calcification was obviously higher than that of heart Yin deficiency and phlegm and blood stasis, there is statistical significance, heart Yin deficiency type of calcification in the nodule was statistically significant between signs and other syndromes. Thyroid nodule each card type and BV, PS has no statistical significance; Getting smaller values of the BF, on behalf of the unit time by relatively few nodules blood flow. Heart Yin deficiency type determined by MTT value maximum, represents the average by long, qi depression phlegm obstruction type determined by MTT numerical minimum, representing an average pass time is short. Thyroid nodule four card type and statistical significance was found between the pathological classification, of 40 cases with benign nodules more see. Qi depression phlegm obstruction, something strong and phlegm and blood stasis type to benign nodules, heart Yin deficiency in malignant nodules.Conclusion Acute cerebral infarction of TCM syndrome types and characteristics of CT images and statistical significance was found between CT perfusion parameters, so as to provide the objective basis of traditional Chinese medicine, to broaden the thinking of treatment based on syndrome differentiation of the disease, and promote the development of the cooperation of Chinese and western medicine imaging.