A Preliminary Study On The Correlation Between MRI Findings And TCM Syndromes In 206 Patients With Acute Ischemic Stroke

Objective:Exploration of ischemic cerebral apoplexy head MRI manifestations and the correlation between TCM disease and syndrome factor, summarizes the different syndrome and syndrome factor on the image performance, the characteristics of convenient guide clinical in get head MRI images of the Chinese medicine dialectical and treatment of the first time.Materials and methods:Study collected during December 2013 to August 2015, in dongzhimen hospital treatment of 206 cases of patients with the acute phase of ischemic cerebral apoplexy clinical data and head mri image data.In accordance with "stroke diagnosis and curative effect evaluation standard" (the second generation standard), and revision of the member of munch guide the classes stroke clinical disease diagnosis scheme for TCM diagnosis and dialectical.The patient population characteristics, infection situation and head MRI (DWI sequence can), treatment group, using SPSS20.0 software card room inspection, single sample t-test, p< 0.05 as was statistically significant.Retrospective analysis of cranial MRI imaging findings with traditional Chinese medicine syndrome and syndrome factor between specific.Result:Total number of men more than women,50-79 years old for peaks.Autumn to early winter season, lower incidence of acute cerebral infarction.The patients sed docter in 1 day accounted for 46.6% of the total.At the same time patients with history of 3-5 kinds of basic accounting for 58.7%.With the increase of age, the history of suffering from a variety of basic Numbers increase gradually.Half of the patients with a history of smoking, more men than women obviously.Drinkers, almost all are men, the peak age in 50 to 59 years old, is characterized by long-term heavy drinking.Clinical manifestation of TCM:ncidence of stroke was obviously higher than Class stroke.86.9% of stroke patients in channels and collaterals.High frequency of hemiplegia and language difficulties,abnormal mind does not see more in the modern stroke patients.Most of the patients at the same time there are 2-3 primary symptom.Person of single infarction is more than multiple infarction.Mainly located in the posterior circulation infarction accounted for 28.2% of the total and 71.8% in anterior circulation.The brain stem, diencephalon, basal ganglia, next to the lateral ventricle, half egg circle center mainly for single infarction and the cerebellum and frontal, parietal, occipital lobe, temporal lobe, corpus callosum mainly for multiple infarction.Basal ganglia region in the majority with small infarction patients and the brain stem and diencephalon, next to the lateral ventricle, semioval center in the majority with lacunar infarction patients.All of the patients, the large area of infarction accounted for 25.2%, small infarction 30.1%, lacunar infarction 44.8%.Lacunar infarction group should not be ignored.Combine traditional Chinese and western medicine treatment accounted for 95.1%.In the middle and internal organs with multiple infarction, large area of infarction and the frequency of errhysis is higher then the others.Zhongzangfu is mainly showed as wind phlegm and blood stasis syndrome and tanre fushi syndrome.The frequency of large area infarction was higher in female than in male.With the increase of the area of infarction, the bleeding risk increased and the death rate increased.In 5 Syndrome elements,"wind", "phlegm" and "blood stasis" appear frequently."Fire" and "phlegm" appear frequently in multiple infarction and "wind", "fire", "phlegm" in the large area of infarction in a high frequency.Conclusion:1.Acute ischemic cerebral stroke below 70 years old male more than female, aged 70 years and over conversely, the majority of patients have history of alcohol and tobacco and 3-5 basic history.2.Stroke patients are more than class stroke.The highest incidence rate of syndrome was wind phlegm and blood stasis syndrome, Qi deficiency and blood stasis syndrome and phlegm heat syndrome.3.There were no differences in infarct size, area, and blood volume between stroke and class stroke, but differences in infarct location.Patients of Zhongzangfu are always with multiple infarction, large area of infarction.With the proportion of errhysising were higher than those of apoplexy involving both collateral and meridian.Single infarction mainly belongs to wind heat disturbance, wind phlegm and blood stasis syndrome.Different infarct location of TCM syndrome types are different.Errhysis in Infarction belongs to the wind fire pathogen infarction syndrome, wind phlegm and blood stasis syndrome, kidney yin deficiency syndrome.5."wind", "phlegm" and "blood stasis" appear frequently."Fire" and "phlegm" appear frequently in multiple infarction and "wind", "fire", "phlegm" in the large area of infarction in a high frequency.