Study On The Relationship Between The Pathogenic Factors Of Senile Cerebral Infarction And TCM Constitution

Research purposes:This thesis aims to analyze the correlation between TCM Constitution distribution and related factors in elderly patients with cerebral infarction and discuss the physical characteristics of stroke in the elderly so as to provide reference for the prevention and treatment of patients.Methodology:A total of 427 patients admitted to the Department of Geriatrics,Affiliated Hospital of Shandong University of Traditional Chinese Medicine were investigated from August 20 th,2019 to October 20 th,2019.Besides,general data,past medical history as well as physical and chemical indicators of the patients were collected.And SPSS was used for analysis on the differences between groups.Research results:1)The proportion of male patients with cerebral infarction in the elderly is larger than that of women,and that of young elderly is larger,and the average age is smaller than that of non cerebral infarction patients.Besides,smoking affects the incidence of cerebral infarction.2)Phlegm-dampness constitution is the most in senile cerebral infarction,Accounted for 28.13%.Men are mainly phlegm-dampness constitutions,35.68%.While women are mainly qi deficiency constitutions,accounted for 23.70%.In the acute stage,qi deficiency constitution and blood stasis constitution are the main components,accounting for 27.78% respectively.While in the recovery stage and sequelae stage,phlegm-dampness constitution is the main component,accounting for 31.25% and 28.68% respectively.3)The formation,stenosis,and active emboli of carotid artery plaques in elderly patients with cerebral infarction are different in physical distribution,but there is no significant difference in physical distribution of TCD.4)Compared with other constitutions,the differences of low-density lipoprotein of phlegm-dampness constitution,CRP and fibrinogen of blood stasis constitution,glycated hemoglobin of yin-deficiency constitution,and albumin of qi-deficiency constitution are statistically significant.5)Phlegm-dampness constitution is positively correlated with men,greasy food,hyperlipidemia,overweight and obesity.Blood stasis constitution is positively correlated with salty diet,cold diet,coronary heart disease,and hypertension.Qi-deficiency constitution is positively correlated with hypoproteinemia and negatively correlated with obesity.Yin deficiency constitution is positively correlated with diabetes and negatively correlated with hyperlipidemia and overweight.Conclusion :1)Elderly men are more likely to have cerebral infarction,which is closely related to phlegm-dampness constitution.2)Phlegm-dampness constitution,blood stasis constitution and qi-deficiency constitution are more common in senile cerebral infarction,which are closely related to carotid artery plaque,lumen stenosis,microthrombosis,Inflammatory indexes,nutritional indexes,etc.3)In elderly patients with cerebral infarction,greasy diet,hyperlipidemia and overweight are independent risk factors of phlegm-dampness constitution.Excessive salty diet,cold diet,Coronary heart disease and hypertension are independent risk factors of blood stasis constitution.Hypoproteinemia is an independent risk factor of Qi-deficiency constitution.And diabetes mellitus is an independent risk factor of Yin deficiency constitution.