Correlation Study Of TCM Syndrome Elements And Clinical Efficacy Analysis Of Syndrome Differentiation After Small Bone Window Craniotomy For Hemorrhagic Stroke

Purpose1 Analyze the distribution of TCM syndromes after small bone window hematoma removal and large bone flap hematoma removal.Concluded whether there are statistical differences in the indicators of western medicine after surgery.Find the correlation between TCM syndromes and Western medicine indexes after operation.2 Verify the clinical reliability and practicability of TCM syndrome differentiation treatment using the correlation between TCM syndrome elements and Western medicine indicators after small bone window surgery.Method1 Patients with hypertensive hemorrhagic stroke were selected and compared according to patients receiving diffrent craniotomy.Analyze the distribution of TCM syndrome elements after operation.Compare whether there are statistical differences in intracranial hypertension,GCS score,CRP,CSF-LDH,HCY at 1,3,7,14 days after surgery.Analysis of the correlation between the western medicine indicators and TCM syndrome elements at corresponding time points.2 Select the time point on the 7th day after the small bone window operation.Then divide them into 2 groups according whether to use syndrome elements(according to the TCM syndrome elements corresponding to western medicine indicators).Compare the clinical effects of the 2 groups.Result1 The blood stasis syndrome appeared later in the small bone window group than the large bone flap group,and the proportion of the small bone window group was more than that of the large bone flap group;the small bone window group had a lower proportion of Qi deficiency and Yin deficiency and Yang hyperactivity syndrome than the large bone flap group.The distribution of wind syndrome,phlegm syndrome,and fire-heat syndrome in the two groups was basically the same.On the first day,the proportion of wind syndrome was the first,and then showed a continuous downward trend;phlegm syndrome has always existed throughout the postoperative course,and its proportion higher;the proportion of fiery certificates first increased and then decreased.2 Statistics show that there are significant differences in intracranial pressure,GCS score,CRP,CSF-LDH after surgery between the two groups(P<0.05).3 Correlation analysis between western medicine indicators and TCM syndrome factors at corresponding time points.On the first postoperative day,the GCS score was negatively correlated with wind syndrome.On the 3rd postoperative day,CRP was positively correlated with phlegm syndrome and heat syndrome.On the 7th postoperative day,CRP and LDH were positively correlated with phlegm syndrome and heat syndrome.Intracranial pressure is positively correlated with blood stasis syndrome.GCS score is negatively correlated with phlegm syndrome and blood stasis syndrome.On the 14 th day after operation,CRP is positively correlated with phlegm syndrome.And GCS score is negatively correlated with blood stasis syndrome(P<0.05).4 The GCS scores and CRP indexes of the small bone window group of patients who used TCM syndrome differentiation treatment were significantly better than those of patients who did not use syndrome differentiation(P<0.05).Patients who use syndrome differentiation have better efficiency(P<0.05).Conclusions1 This study derives the characteristics of the distribution of TCM syndrome elements of the small bone window.After small bone window surgery,the disadvantage of small bone flap surgery is that blood stasis syndrome is prone to occur.This may be related to the poor effect of small bone window decompression.There are fewer syndromes of deficiency of qi and hyperactivity of yin and yang,which are related to the small trauma of small bone window surgery and quicker recovery.The wind syndrome,phlegm syndrome and fire-heat syndrome have basically the same changes after the small bone window and the large bone flap.The wind syndrome has a high incidence in the early stage and dissipates quickly in the later stage.The phlegm syndrome and fire-heat syndrome are the main syndrome factors after the operation.And the phlegm syndrome has always existed.Fiery card gradually increased.It can also be concluded that in western medicine.small bone window surgery has better GCS score,CRP,CSF-LDH compared with large bone flap surgery.But the postoperative intracranial pressure performance is not as good as large bone flap surgery.2 Analyzed the correlation between traditional Chinese medicine syndrome elements and western medicine indicators after small bone window surgery.High intracranial pressure after small bone window surgery may be related to blood stasis syndrome.If the GCS score is not ideal,it indicates blood stasis syndrome,wind syndrome and phlegm.If the postoperative CRP and LDH increase,it may manifest as phlegm syndrome and fiery-heat syndrome.3 It is verified that the correlation analysis between TCM syndrome elements and western medicine indicators is reliable and practical.The use of syndrome differentiation to treat patients after hemorrhagic stroke can significantly improve the symptoms and various observation indicators and improve the clinical efficacy.