Based On The Secondary Prevention Of Stroke In The Healthy Rural Demonstration Community In Beijing And The Research On The Constitution Of TCM

Objective:Under the guidance of constitution theory,this study used the epidemiological method of questionnaire survey to research secondary prevention’s present situation and constitution’s distribution of non acute stroke patients.Through the study we can find the constitution who get stroke easily and give targeted intervention measures of traditional Chinese medicine.Our aim is to provide the data support for the secondary prevention of stroke and prevent stroke from the angle of traditional Chinese Medicine.Methods:Research was carried out in the community of healthy countryside in Beijing project.400 patients who meet the inclusive criteria of non acute stroke fill in the questionnaire and classification and decision table of constitution of Chinese Medicine.The statistical analysis method used SPSS 20.0 software to analyze the data collected by statistics.The number of cases was counted by frequency,and the count data were tested by chi 2 test.Results:1.General information:Male stroke patients were more than female.The age distribution of the elderly(over 60 years)is the majority.Most patients lack exercise.The patients who smoke,drink,eat greasy or have salty diet each accounted for about one-third of all.The overwhelming majority of stroke patients are mainly hospitalized.The patients after the first onset of the disease were few treated with traditional Chinese medicine.The patient’s past medical history was mainly hypertension,hyperlipidemia and diabetes.Most stroke patients have a family history of hypertension,stroke and diabetes.2.The secondary prevention’s present situation of stroke patients:the stroke patients have low rate of using drugs and poor compliance about anti hypertensive drugs,hypoglycemic agents,lipid-lowering drugs,anti platelet aggregation and anticoagulant drugs.Blood pressure and blood glucose control don’t reach the standard.Stroke patients have a low level of knowledge about stroke prevention and treatment.There are few ways for patients to master the knowledge of stroke’s secondary prevention and treatment.They have poor consciousness about the secondary prevention.Most stroke patients have insufficient understanding of the effect of Chinese medicine in preventing and treating stroke and have little knowledge about the constitution of Chinese medicine.Their trust in traditional Chinese medicine is not high,and stroke patients do not have a good understanding of prevention and treatment of stroke by Chinese medicine.3.The constitution’s distribution of stroke patients:In stroke patients,the main constitutions are phlegm dampness,qi deficiency and blood stasis.Different gender,age and living habits are different in the constitution distribution of traditional Chinese medicine.The male patients,constitution are dominated by qi deficiency,phlegm and blood stasis.The female patients,constitution are dominated by phlegm dampness,yin deficiency and qi stagnation.85.5 percent of the stroke patients are over 60 years old and dominated by phlegm dampness and qi deficiency.The greasy diet is a risk factor for the formation of phlegm and dampness.Exercise is a protective factor for phlegm and dampness;previous diseases have no difference in the formation of phlegm and dampness.Conclusion:1.The majority of stroke patients are old people and most of them lack exercise.Some patients eat greasy,have heavy taste,smoke and drink.In conclusion,their living habits are not healthy.Stroke patients have a low rate of using drugs and poor compliance,have low levels of mastering stroke prevention knowledge.Their secondary prevention awareness is poor.Most stroke patients have insufficient understanding of the effect of Chinese medicine in preventing and treating stroke and have little knowledge about the constitution of Chinese medicine.Their trust in traditional Chinese medicine is not high,and stroke patients do not have a good understanding of prevention and treatment of stroke by Chinese medicine.2.In stroke patients,the main constitutions are phlegm dampness,qi deficiency and blood stasis.Different gender,age and living habits are different in the constitution distribution of traditional Chinese medicine.Greasy diet is a risk factor to the formation of phlegm dampness.Exercise is a protective factor to phlegm dampness.