The Study Of TCM Syndrome Elements Distribution Characteristics In Acute Ischemic Stroke After Interventional Therapy

ObjectiveThe purpose of this study was to observe and analyze the distribution characteristics of TCM syndromes after interventional therapy for acute ischemic stroke,and to provide reference for treatment based on syndrome differentiation of patients after intravascular intervention for acute is chemic stroke,so as to provide standardized TCM diagnosis and treatment programs for such patients.MethodsData of 115 patients who underwent interventional therapy in the neurology department,maoming traditional chinese medicine hospital affiliated to Guangzhou university of chinese medicine from December 2018 to December 2019 and met the inclusion criteria were collected.Before treatment and 2 days after treatment,the diagnosis scale of syndrome elements of is chemic stroke twice to get the syndrome elements.By statistical analysis,the distribution characteristics of TCM Syndromes of these patients are obtained and analyzed in combination with its relevant elements.Results1.In this study,endogenous wind(115 times)was the syndrome element with the highest frequency before interventional therapy in acute ischem ic stroke.Blood stasis was followed by 54 times,and the Yin deficiency was the least,16 times.After treatment,the syndrome element with the highest frequency was(87 times).Blood stasis followed,65 times,and the Y in deficiency was the least,17 times.Among them,the frequency difference of endogenous wind syndrome and blood stasis syndrome before and after treatment was statistically significant.2.In this study,a total of 35 combinations were obtained,including 3 single-factor syndromes,12 double-factor syndromes,14 three-factor syndromes and 4 four-factor syndromes.There were 5 cases of single-factor syndrome,58 cases of two-factor syndrome,followed by 39 cases of three-factor syndrome group and 13 cases of four-factor syndrome group,while no combination of five and six syndromes was found.From more to less,the first four multi-factor combinations are endogenous wind+phlegm-dampness syndrome,endogenous wind+blood stasis syndrome,endogenous wind+phlegm-dampness+qi deficiency syndrome,endogenous wind+phlegm-dampness+blood stasis syndrome.3.Before treatment,internal fire+Yin deficiency syndrome,Qi deficiency+Yin deficiency syndrome and Qi deficiency+internal fire syndrome have higher support and confidence.It can be considered that these three groups of syndrome elements are related.After treatment,the supporting degree and confidence degree of qi deficiency+Yin deficiency syndrome and internal fire+Yin deficiency syndrome are higher.It can be considered that the two groups of syndrome elements are relatedConclusionThe common TCM syndromes after interventional therapy in patients with acute ischemic stroke include endogenous wind+phlegm-dampness syndrome,endogenous wind+blood stasis syndrome,endogenous wind+phlegm-dampness+qi deficiency syndrome,endogenous wind + phlegm-dampness+blood stasis syndrome.Endogenous wind,blood stasis,phlegm and dampness throughout the course of the disease.The treatment after the therapy should pay attention to promote blood circulation and remove blood stasis,and at the same time properly clear wind,phlegm.