Study On Correlation Between Traditional Chinese Medicine Syndrome Of Ischemic Stroke Recovery And Controllable Risk Factors

Objective:Through the clinical epidemiological investigation between controllable risk factors including hypertension, hyperlipidemia, type 2 diabetes, coronary heart disease, abdominal obesity and traditional chinese medicine syndrome of ischemic stroke recovery, study the relationship between controllable risk factors and traditional chinese medicine syndrome.Object and Methods:First collecting 120 patients on ischemic stroke recovery, The excess syndrome referred to " the Stroke Diagnosis Standard of Pattern Identification " which adopted by acute encephalopathy Collaboration Group of SATCM at its second meeting in 1994,and " Guiding principles of Chinese Medicine's Clinical Research " which published by China Medical Science and Technology Publishing House in 2002. And the deficiency syndrome referred to " the Diagnosis Standard of Deficiency Syndrome "which adopted by the national integrated tcm-wm cooperation of deficiency syndrome and senile disease research in 1986. First determine the TCM syndrome,and study the distribution of traditional chinese medicine syndrome,the relationship between risk factors and traditional chinese medicine syndrome. The data analyzed by the spss13.0 statistics software.Results:1.Frequency of traditional chinese medicine syndrome:In the excess syndrome, phlegm and blood stasis are more common,accounting for 71.6% and 63.3%.in the deficiency diagnosis, deficiency of liver,deficiency of kidney,Yin deficiency,Qi deficiency are more common,accounting for 65.8%,60.8%,44.1%,34.1%. SDT of asthenia in origin and asthenia in superficiality was Primary in deficiency of liver and kidney and Yin and blockage of phlegm and stasis, whose proportion was 39.1%, The secondary SDT was Qi deficiency and blood stasis, whose proportion was 30.0%,The third SDT was deficiency of liver and kidney and phlegm and pathogen fire, whose proportion was 16.6%.2.Frequency of risk factors:hypertension is most prevalent, accounting for 74.1%, and the remaining proportion of the risk factors followed by hyperlipidemia (63.3%), coronary heart disease (51.6%), type 2 diabetes (44.2%), abdominal obesity (38.3%), smoking (35.8%), alcohol (25.0%).3.The relationship between TCM syndrome and risk factors:Patienis with hypertension were primary in deficiency of kidney,deficiency of liver,phlegm and stasis. Patienis with hyperlipidemia were primary in deficiency of liver,Yin deficiency,phlegm and stasis. Patienis with coronary artery disease were primary in deficiency of heart,Qi deficiency and stasis. Patienis with Type 2 Diabetes Mellitus were primary in deficiency of kidney,Qi deficiency,phlegm and stasis. Patienis with abdominal obesity were primary in Qi deficiency,deficiency of kidney and phlegm. Patienis with smoking and alcohol were primary in phlegm and stasis.4.The relationship between risk factors and SDT of asthenia in origin and sthenia in superfieiality: Patienis with hypertension were primary in deficiency of liver and kidney and Yin and blockage of phlegm and stasis, Patienis with hyperlipidemia were primary in deficiency of liver and kidney and Yin and blockage of phlegm and fire. Patienis with coronary artery disease were primary in Qi deficiency and blood stasis. Patienis with Type 2 Diabetes Mellitus were primary in Qi deficiency and blood stasis. the distribution of the above were statistically significant (P<0.05). in patients with abdominal obesity, smoking, alcoholic, the distribution has no statistically significance (P> 0.05).5.The relationship between Aggregation of controllable risk factors and SDT of asthenia in origin and sthenia in superfieiality:IN patients with 3 risk factors, Qi deficiency and blood stasis was statistically significant. IN patients with 2 risk factors, Qi deficiency and blood stasis was statistically significant. IN patients with 1 risk factor, SDT of asthenia in origin and sthenia in superfieiality has no difference.Conclusion:In traditional Chinese Medicine Syndrome, phlegm,blood stasis,deficiency of liver,deficiency of kidney,Yin deficiency,Qi deficiency are more common, In SDT of asthenia in origin and sthenia in superfieiality, it was Primary in deficiency of liver and kidney and Yin and blockage of phlegm and stasis,The second was Qi deficiency and blood stasis, the third was deficiency of liver and kidney and phlegm and pathogen fire. Patienis with hypertension were primary in deficiency of liver and kidney and Yin and blockage of phlegm and stasis, Patienis with hyperlipidemia were primary in deficiency of liver and kidney and Yin and blockage of phlegm and fire. Patienis with coronary artery disease were primary in Qi deficiency and blood stasis. Patienis with Type 2 Diabetes Mellitus were primary in Qi deficiency and blood stasis. patients with 3 risk factors, Qi deficiency and blood stasis was statistically significant. IN patients with 2 risk factors, Qi deficiency and blood stasis was statistically significant. IN patients with 1 risk factor, SDT of asthenia in origin and sthenia in superfieiality has no difference.