The Stand Ardization Studies Of Cerebral Infarction Pattern Of Syndrome In TCM And The Relations With Skull CT

Objective :By the prospective study of 140 cerebral infarction patients, we study the subject of themodern CTM categorical identification in terms of cerebral infarction to explore whetherthe diagnostic criteria is concordant with clinical practice. On this basis we discuss therelations between the area , situs, amount of skull CT and the standard patterns ofsyndrome.Method :First, by means of artificial method, analyzing and synthesizing all patientssyndrom’s information. We can divide it into five syndroms, such as Fen-yu, Yin-xu, Qi-xu,Huo-re, Tan-shi. Then edit procedure to perform qualitative analysis of each patientsyndrom’s information and reach syndromes distribution by the diagnostic criterion. At last,using the loading coefficient of main syndromes and subordinate syndromes, carry outquantitative analysis of each patient syndrom’s information and get syndromesdistribution. Then compare them each other to show them no difference. Then record theinformation about 140 patients’ skull CT into SPSS. Make a relationship form aboutpattems of syndrome, diameter, situs and amount. After analyzing, we can get a conclusionby using SAS.Result :1. Kappa coefficient of artificial method and quantitative analysis is 0.8030, kappacoefficient of artificial method and qualitative analysis is 0.7806, kappa coefficient ofqualitative analysis and quantitative analysis is 0.7853, which show three methods nodistinct difference.2. There are some relationship between skull CT information and patterns ofsyndrome.2.1 Multiple cerebral infarction is more than single cerebral infarction. The highest isHuo-re zheng. The highest in single cerebral infarction is Tan-shi zheng. Qi-xu zheng is thetallest in Big area cerebral infarction. Yin-xu zheng is the tallest in focal cerebral infarction.Tan-shi zheng is the tallest in cavity cerebral infarction.2.2 Qi-xu zheng is tall in basal area and brain infarction positive rate. Othersdistributes indistinctly.2.3 Qi-xu zheng and Tan-shi zheng influence the infarction amount of basal areadistinctly. Yin-xu zheng and Qi-xu zheng, Qi-xu zheng and Huo-re zheng influence the infarction amount of brain distinctly.2.4 Huo-re zheng and Tan-shi zheng, Qi-xu zheng and Tan-shi zheng influence theinfarction area of left basal area distinctly. Qi-xu zheng and Tan-shi zheng influence theinfarction area of right basal area distinctly. Yin-xu zheng and Qi-xu zheng, Yin-xu zhengand Hot-fire zheng, Yin-xu zheng and Tan-shi zheng influence the infarction area of frontallobe distinctly. Yin-xu zheng and Qi-xu zheng, Qi-xu zheng and Huo-re zheng influence theinfarction area of brain distinctly.Conclusion:The output of zheng’s diagnostic criterion is fully identical with clinical practice. Itshows us the standard is scientific and practical.