Study On The Correlation Between ABCD3I Score And TCM Basic Syndromes In TIA Patients

Purpose：Transient ischemic attack（TIA）is the transient neurologic dysfunction of cerebralor retinal focal ischemia,without acute infarction.TIA has the best effecttion and value oftreatment in the ischemic cerebrovascular disease.Uusing the diagnostic scale of modern medicineto provide new ideas and methods for TCM syndrome differentiation,otherwise，when TCM meetsthe modern medicine,in order to play the advantage of TCM on the diagnosis and treatment oftransient ischemic attack, assess the patients who are at risk as soon as possible,taking effectivemeasures,to reduce the transient ischemic attack for the development of the acute cerebralinfarction rate,to improve the prognosis,to reduce mortality.Material:The Neurology ward,the General Hospital of ShenYang Military Region duringSeptember2013to February2014were selected.Method：Consensus of chinese experts updated version of transient ischemic attack(2011)ABCD3I score,divided the TIAs into high risk group, medium risk group and the low riskgroup,meanwhile,according to the november of1993China Association of Traditional ChineseMedicine Department of Internal Medicine Institute, professional committee of the sixth meetingof encephalopathy of State Administration of TCM in acute encephalopathy group by the secondsession of <apoplexy omen syndrome diagnosis and curative effect evaluation standard>,theTIAs’s syndrome differentiation divided into three groups:combined the wind-phlegm and firesyndrome(CWPFS),hyperactivity of wind-phlegm and blood stasis syndrome(HWPBSS),Qi andYin dificiency and Blood stasis syndrome(QYDBSS) and probes into the relationships betweenthe ABCD3I scores and the syndromes.Statistical analysis was performed using SPSS17.0statistical software, P<0.05suggests that the statistics have statistically significant difference.Results：1.After94patients were evaluated with ABCD3I score,there are34patients in the high riskgroup(8-13scores),45patients in the medium risk group（4-7scores）and13patients in the lowrisk group(0-3scores),accounted for31.91%,34.04%and31.91%.There are32patients in theHWPBSS group,30patients in the CWPFS group and32patients in the QYDBSS group,accounted for31.91%，34.04%and31.91%.2.The average age of patients in the three groups was (63.87±9.26) years old, t test were carriedout between the two groups, each P>0.05, showed that there was no significant difference betweenthe groups of patients with age.3. Patients with TIA into the ABCD3I score in hypertension and diabetes type II scale, the rest ofthe syndromes in patients with complications by X2test, P>0.05,that between the groups had nosignificant difference between patients with complications.4.Each scores of the3groups, HWPBSS group, CWPFS group and QYDBSS group, either twogroups that the T test was used, P<0.05, there was statistical significance. CWPFS group andQYDBSS group ABCD3I score of T test, P>0.05, no statistical significance.Conclusion：1.Between the onset of transient ischemic attack in the TCM Syndromes of rate is roughly thesame.2. In patients with transient ischemic attack of HWPBSS group,their ABCD3I scores are higherthan CWPFS group and QYDBSS group.3.The wind phlegm and blood stasis is the main etiology and pathology of transient cerebralischemic attack factor, and transient ischemic attack by ABCD3I score was positively related toshort-term risk of stroke.4.In addition to hypertension, diabetes, other complicating disease and transient ischemic attackhas no obvious correlation.