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The Study Of The Distribularity And The Relatted Factors Of The Aypnia After Ischemic Stroke

Posted on:2008-06-01Degree:MasterType:Thesis
Country:ChinaCandidate:H Y LiuFull Text:PDF
GTID:2144360215965360Subject:Department of Neurology
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Background and objective:The inception rate, Mortality rate and mutilation rate of Cerebrovasculardisease (CVD) are fairly high, it with malignant tumor, heart disease are thefirst three disease that lead to death all over the world. The inception rateis 120/100 thousand—18/100 thousand, and it works up topically; the new caseis nearly 1.5 million every year and the mortality rate nearly one million everyyear in estimate in our country, the handicap rate reach up to 75 percent; inall the cerebral apoplexy patients, ischemic stoke account to 65 percent to80 percent, there always persistence various kinds of functional impairmentafter the acute cerebral accident stage, the aypnia is the most common amongthe total patients, some document shows that 95 percent CVD patients suffersdyssomnias, it reports the incidence rate of aypnia after the acute cerebralaccident stage reaches up to 56.7 percent to 67.7 percent in abroad. The aypniaafter stroke not only leads to psychological disturbance, but also influencerenovation pacing of motor function, it can aggravate somatization and affectto restoration progress; this appearance is especially manifest in the newpatients that suffer aypnia after stroke.Nevertheless, the study on the aypnia after stroke just recently start inpresent in domestic and abroad, in the traditional Chinese medicine(TCM) studyon the aypnia after ischemic stroke aspect, they are very scant on the clinicalsymptom-complex study and on the approach to etiological factor, To investigatethe correlation that the aypnia after ischemic stroke with the general stateof health and mental state, as well as the disposition feature ofsymptom-complex, and so on. It is significance for deepen comprehend and gripthe universe rule on this disease in the later convalescence stage.Accordingly, this study traverse clinical investigation, deploy epidemiologybinding contemporary method of mathematical statistics, to preliminary investigate and study the correlation that the aypnia after ischemic strokewith the general state of health, and mental state, as well as the dispositionfeature of symptom-complex.Methods:This study adopt epidemiological ascertainment methods of transverse plane,screening all the apoplexy patients that housing facilityand out-patient byTCM doctor who super physician in our hospital, collecting all the patients'information of four physical examinations that consistent with diagnose andinternalize standard in this study when they visited, progressing dialecticaland grouping. We will score the patients in SDC, SAS, Athens SPS, register theirname, sexuality, age, as well as admission number, and so on. Then, puttingall the data into computer unity by special messenger, erecting database,analycizing all the case data with SPSS statistics software to study thedistribution feature of thepatients who suffer aypnia after ischemic strokein convalescence, analysis the dependablity between aypnia after ischemicstroke and age. sexuality, course of disease, as well as depression and anxiety.Results:According to the 166 being investigated patients, we find that in variousfactors, it is no statistics significance on the diversity of sexuality, thatmeans the sexuality factor has no impaction on aypnia after ischemic stroke;however, the difficiences among the age, the course of disease and the patients'state have statistical significance (P<0.05); the regression analysis shows:the patients' mental status is positive correolatted to aypnia after ischemicstroke (P<0.05), however, there is no statistical significance on thedependablity among sexuality, course of disease, age factor, and aypnia afterischemic stroke.In all the 166 patients that beinginvestigated, there are 16 pattern ofaypnia syndrome, the most frequency pattern of aypnia syndrome appear arestagnation of liver-QI with deficiency of the spleen and yin asthenia withblood stasis, the least is phlegm-heat trouble. While symptom-complex asdependent variable, and the frequency of symptom-complex as independentvariable, The clustering statistical results shows: while the symptom-complexdivided into three categories, the primary category contains yin asthenia withblood stasis, blood deficiency with stasis, heat in blood with stagnation ofliver-QI, stagnation of liver-QI with pyrophlegm, and stagnation of liver-QI with deficiency of the spleen, there are ninety cases, almost 54 percent; thesecond category contains blood deficiency with phlegm, asthenic yin causingexcessive pyrexia, heart-yin hemopenia, carduonephric cisharmony, deficiencyof both vital energy and yin of heart, distress hurt yin and yag, deficiencyof vital energy of heart with guts, deficiency of vital energy and blood stasisof heart with liver, there are eight symptom-complex, almost account to fortypercent; the last category including phlegm-heat trouble, excessive heart fireflourishing, deficiency of YIN of both the heart and liver, there are ten cases,account to nearly six percent; this result showes that the most commonsymptom-complex is yin asthenia with blood stasis, blood deficiency withstasis, heat in blood with stagnation of liver-QI, stagnation of liver-QI withpyrophlegm, and stagnation of liver-QI with deficiency of the spleen in allthe symptom-complex of agrypnia after stroke disease. Analysis the resultcombineding expertise we can make the conclusion: the main featurer of theaypnia symptom-complex after ischemic stroke is "sputum, haemostasis,luxuriate, deficiency and heat".Conclusions:This study finding shows: the aypnia after ischemic stroke is noncorrelattedto sexuality, and the dependablity with the age, course of disease factor alsofairly equation; not all the patients that suffer aypnia after ischemic strokesuffer depression and\or anxiety, but it is evident correlated to them; also,the main featurer of the aypnia symptom-complex after ischemic stroke is"sputum, haemostasis, luxuriate and deficiency", there is commonness betweenstroke and aypnia, not the same at all.
Keywords/Search Tags:Ischemic stroke, Aypnia, Syndrome distributing, Hiearchical Cluster method
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