The Study On The Correlation Between Blood Lipids And Carotid Atherosclerosis Among Different TCM Syndrome Types Of Acute Ischemic Stroke

Objective: By exploring the relationship between blood lipids and carotid color Doppler ultrasound indicators among different Traditional Chinese Medicine(TCM)syndrome types of acute ischemic stroke(AIS),the paper trys to provide an objective basis for the treatment of AIS.Methods: 200 AIS patients who met the criteria were classified by TCM,then the relationship between blood lipids and carotid atherosclerosis among the various syndrome types compared.Results: 1.The male to female ratio is 2.39:1;60-74 years old patients accounts for 49.5%,and hypertension patients accounts for 61.5%.2.The type of syndrome is wind phlegm blocking collaterals syndrome> Qi deficiency and blood stasis syndrome> Wind and fire upper disturbance syndrome> Yin deficiency and wind movement syndrome> Liver Yang hyperactivity syndrome.There is a statistical difference in the ratio of male to female between the Qi deficiency and blood stasis group and the wind phlegm blocking collaterals group(P=0.010<0.05).There is no statistically significant difference in age and comorbidities of various syndrome types.3.There is no statistically significant difference in TC,TG and HDL-C in each group;The LDL-C in the qi deficiency and blood stasis group is higher than that in the wind phlegm blocking collateral group(P=0.013<0.05)and the liver-yang hyperactivity group(P=0.008<0.05)).4.The difference in carotid plaque length of each syndrome type is statistically significant(p=0.007<0.05)and the difference in other atherosclerosis indexes is not statistically significant.Conclusion: There are more males and hypertension patients in AIS patients,and the wind-phlegm blocking collaterals syndrome and Qi deficiency and blood stasis syndrome have more patients than other syndromes.There are relatively more female patients in Qi deficiency and blood stasis group than in wind phlegm blocking collaterals group.The LDL-C is higher in qi deficiency and blood stasis group than in wind phlegm blocking collaterals group and liver-yang hyperactivity group.The difference in plaque length of each syndrome type is statistically significant,and the wind phlegm blocking collaterals group has the longest plaque.