Study On Relationship Between The MR-DWI Scanning Appearance And The Differentiation Of TCM Syndrome About AIA

ObjectiveIt' s to investigate the relationship between the MR diffusion weighted imaging (MR-DWI) scanning appearance and Traditional Chinese Medicine (TCM) differentiation syndromes of the patients of acute ischemic apoplexy (AIA),through analyzing materials of brain MR-DWI scanning and ADC value in different TCM syndromes of AIA patients. At the same time, we also hope to provide convenient, suitable and approvable objective targets for the Chinese clinical medicine.MethodsWe had retrospectively reviewed the MR-DWI scanning imaging and clinical records of standard 85 examples (male 57 examples, female 28 examples ).The AIA patients involved in the clinical study were divided into the TCM groupsof Ganyangbaokang, Fengtanzuluo, Tanrefushi, Qixuxueyu, Yinxufengdong. During the study ,we had measured the ADC value, infarction volume and filled out DWI signs table, and made statistics analysis by the statistical software SPSS 13.0.ResultsEighty-five cases were admitted. Among all the TCM groups, ADC value in the middle of acute infarction was different prominently(P＜0. 05).And middle ADC value in the group of Ganyangbaokang syndrome was lowest than the other four TCM differentiation syndromes of AIA. Regarding to ADC on the edge of sickness stoves of AIA in all the TCM syndrome groups, we havn' t find prominent difference (P＞0. 05) . Only 11 examples who had the sign of hemorrhage , accounting for about 12.94%.And the sign of hemorrhage in Ganyangbaokang,Tanrefushi syndrome was more common than the other TCM differentiation syndromes, and the difference was prominent (P＜0. 05). Furthmore, we found that TCM syndrome were different greatly between the TCM groups who had the sign of hemorrhage and those who hadn't, And the difference was prominent (p＜0. 05). The sickness stoves of AIA lied in brain leaf and basis festival were more common than those lied in the other positions in brain, accounting for about 63.53% , Secondly cerebral ganglion and lastly cerebellum. Moreover ,the sickness stoves in the basis festival belong to the group of Qixuxueyu were more than the other TCM groups. Lastly ,the TCM syndrome in all the syndrome groups with different infarction volume was also different prominently (P＜0. 05).Conclusions1. There lies certain relationship between TCM differentiation syndromes and sickness stove spot in AIA cases, We may take the sickness spot of brain leaf and basis festival as a referential, objective target to Qixuxueyu syndrome, cerebral ganglion as Yinxufengdong TCM syndrome , brain stem as Tanrefushi TCM syndrome, and cerebellum as Fengtanzuluo TCM syndrome.2. There lies certain relationship between TCM differentiation syndromes and the sign of hemorrhage in DWI image, We may take this sign as a referential objective target to Ganyangbaokang and Fengtanzuluo syndrome in AIA.3. There lies certain relationship between TCM differentiation syndromes and acute infarction volume in AIA.4. There lies certain relationship between TCM differentiation syndromesand middle ADC value in the sickness stove spot of AIA, We may consider the sign of ADC value reducing greatly a referential objective target of Ganyangbaokang syndrome in AIA.5. MR-DWI may provide helpful supplement to the study on relationship between the image appearance and the differentiation of TCM syndrome in AIA.