Study On Syndrome Type Distribution And Complication Of Cerebral Infarction In Acute Stage And Convalescent Stage

Objective1.To investigate the distribution and combination of six basic syndromes(wind syndrome,heat syndrome,phlegm syndrome,blood stasis syndrome,qi deficiency syndrome and Yin deficiency syndrome)in the acute and convalescent stages of cerebral infarction.2.The distribution of the six basic syndromes in acute and convalescent stage of cerebral infarction was compared,which provides a basis for the standardization of cerebral infarction syndrome differentiation.Methods1.Study on disease distribution of six basic syndromes in acute and convalescent stages of cerebral infarctionCollected from the Guangzhou Hospital of Traditional Chinese Medicine encephalopathy division between January 2018 and January 2019 into standard in hospital during the period of cerebral infarction patients,according to the standards of syndrome-differentiated diagnosis of stroke,stroke syndrome score of graded,six syndrome types include:wind syndrome,heat syndrome(fire),wet phlegm syndrome,blood stasis,deficiency syndrome,Yin deficiency,specific distribution and statistical analysis of each card type and carry.2.Comparison of the distribution of the six basic syndromes in the acute and convalescent stages of cerebral infarction:According to the above steps,the statistical data of six types of ischemic stroke in the acute stage and the convalescent stage were processed with spss23.o software,and the distribution of the acute stage and the convalescent stage of ischemic stroke was compared,and the differences in the distribution of the acute stage and the convalescent stage of ischemic stroke were compared,and the results were analyzed.Results1.1 distribution of acute cerebral infarction syndromesIn this study,a total of 214 patients with acute cerebral infarction were included.Among the six basic syndromes,phlegm syndrome had the highest incidence,accounting for 55.14%of the total cases,followed by blood stasis syndrome(51.40%),wind syndrome(42.99%),qi deficiency syndrome(37.85%),heat syndrome(22.43%)and Yin deficiency syndrome(21.50%).In hybrid and disease,stroke,acute phase card type with two syndrome or disease or three certificates and disease happens,the two certificate of disease,with the wind phlegm on interference(33.75%),qi deficiency and blood stasis(23.08%),the wind on thermal interference(11.19%),phlegm heat relieving excess incidence(11.19%)is higher,in the three certificates or disease,qi deficiency and blood stasis with Yin deficiency type connecting it to the majority of the three certificates or disease cases(46.97%),followed by qi deficiency(18.18%),wind phlegm and blood stasis,phlegm and blood stasis resistance(16.67%).In the acute stage of ischemic apoplexy,empirical evidence(56.54%)was the main method.In 214 cases of the acute phase of stroke patients,the most commonly 6 syndrome types respectively:the wind phlegm obstruction collaterals syndrome(22.43%),deficiency of qi deficiency and blood stasis syndrome(15.42%),blood stasis clip Yin deficiency of syndrome(14.49%),the wind fire disturbance(7.48%),phlegm heat,relieving the empirical(7.48),phlegm and blood stasis resistance collaterals syndrome(6.54%),the six groups of syndrome type accounted for 73.84%of the acute phase of the number of cases.1.2 distribution of convalescent syndromes of ischemic strokeIn this study,a total of 215 patients were included in the convalescent stage of cerebral infarction.Among the six basic syndromes,blood stasis syndrome had the highest incidence,accounting for 74.88%of the total cases,followed by qi deficiency syndrome(53.49%),phlegm syndrome(49.77%),Yin deficiency syndrome(24.65%),heat syndrome(14.42%),and wind syndrome(13.95%).In the convalescence of stroke,the syndromes of two syndromes or three syndromes are more common,in the syndromes of two syndromes,qi deficiency and blood stasis(35%),phlegm and blood stasis obstruction(29.29%),qi deficiency and phlegm obstruction(7.14%),and wind-phlegm obstruction(6.43%)are the most.Among the three syndromes,the deficiency of qi and blood stasis combined with Yin deficiency(45.59%)accounted for the majority of the cases of the three syndromes,followed by qi deficiency and phlegm and blood stasis obstruction(30.88%)and phlegm and heat stasis obstruction(13.24%).In the recovery period of ischemic apoplexy,the deficiency and excess syndrome(60.47%)was the main one.Among 215 patients recovering from stroke,the six syndromes with the highest frequency are:qi deficiency and blood stasis syndrome(22.79%),phlegm and blood stasis syndrome(19.07%),qi deficiency and blood stasis and Yin deficiency syndrome(14.42%),qi deficiency and phlegm stasis syndrome(9.77%),qi deficiency and phlegm obstruction syndrome(4.65%),and wind-phlegm obstruction syndrome(4.19%).2.Comparison of the distribution of different syndromes in the acute and convalescent stages of cerebral infarctionThe cases of ischemic stroke acute phase and convalescence,comparing the evidence type distribution acute stage and recovery in patients with six basic card type distribution has obvious difference,patients with acute phase syndrome with phlegm dampness syndromes(55.14%),(51.40%),wind syndrome of blood stasis syndrome(42.99%)is higher,and recovery in patients with syndrome(75.23%),qi deficiency syndrome of blood stasis syndrome(53.74%),phlegm dampness syndromes(50.00%)is higher.In specific type high issuance,qi deficiency and blood stasis syndrome,qi deficiency and blood stasis and Yin deficiency syndrome,phlegm and blood stasis resistance collaterals,wind phlegm obstruction collaterals certificate four certificate in acute stage and recovery are high certificate type,and the wind fire disturbance,phlegm heat relieving excess this two kinds of Yang syndrome found in acute phase of stroke,deficiency of qi deficiency syndrome,phlegm and blood stasis phlegm syndrome this two kinds of Yin syndrome is high incidence of stroke disease recovery.Among them,qi deficiency and blood stasis syndrome,qi deficiency and blood stasis plus Yin deficiency syndrome have higher distribution rate in acute stage and convalescence stage.Conclusion:1.In patients with acute cerebral infarction,phlegm syndrome and blood stasis syndrome are the high incidence types of single syndrome,both of which are more than 50%;The patients with the two syndromes are mainly wind-phlegm disturbance,qi deficiency and blood stasis,wind-heat disturbance and phlegm-heat entrails.Patients with three syndromes are mainly those with qi deficiency and blood stasis combined with Yin deficiency,qi deficiency and phlegm stasis,and wind-phlegm stasis.Among the 214 patients with acute apoplexy,the six syndromes with the highest frequency are:wind-phlegm obstruction of collaterals syndrome,qi-deficiency and blood-stasis syndrome,qi-deficiency and blood-stasis syndrome with Yin deficiency,wind-fire syndrome,phlegm-heat syndrome,phlegm-heat syndrome and phlegm-stasis obstruction of collaterals syndrome.2.In convalescent patients with cerebral infarction,blood stasis syndrome and qi deficiency syndrome are the high incidence types of single syndrome,both of which are more than 50%.The patients of the two syndromes were mainly qi deficiency and blood stasis,phlegm stasis and collaterals obstruction,qi deficiency and phlegm obstruction.Patients with three syndromes are mainly those with qi deficiency and blood stasis combined with Yin deficiency,qi deficiency and phlegm stasis,and phlegm heat stasis.Among 215 patients recovering from stroke,the six syndromes with the highest frequency are:qi deficiency and blood stasis,phlegm and blood stasis,qi deficiency and blood stasis with Yin deficiency,qi deficiency and phlegm stasis,qi deficiency and phlegm obstruction,and wind-phlegm obstruction and collaterals obstruction.3.There was a significant difference in the distribution of the six basic syndromes between the acute stage and the convalescent stage of cerebral infarction.Compared with the acute stage,the proportion of syndrome of example-based deficiency(qi deficiency,Yin deficiency)and stasis syndrome in convalescent stage was significantly increased,while the proportion of wind syndrome and fire syndrome was significantly decreased,and the proportion of phlegm syndrome was relatively close.According to the comparison of the distribution of the disease,there was no significant difference between the two diseases.Compared with the classification of virtual and real,the distribution of syndrome types of the two are also different.The majority of cases in the acute stage of stroke are positive,while the majority of cases in the convalescent stage are mixed with virtual and real.In specific type high issuance,qi deficiency and blood stasis syndrome,qi deficiency and blood stasis and Yin deficiency syndrome,phlegm and blood stasis resistance collaterals,wind phlegm obstruction collaterals certificate four certificate in acute stage and convalescence is high issuance model,and the wind fire disturbance,phlegm heat relieving excess this two kinds of Yang syndrome found in acute phase of stroke,deficiency of qi deficiency syndrome,phlegm and blood stasis phlegm syndrome this two kinds of Yin syndrome is high incidence of stroke disease recovery.Among them,qi deficiency and blood stasis syndrome,qi deficiency and blood stasis plus Yin deficiency syndrome have a higher distribution rate in the acute stage and the convalescence stage,which indicates that qi deficiency and blood stasis are the key pathological factors throughout the ischemic stroke,and patients with qi deficiency and blood stasis are often accompanied by Yin deficiency syndrome.