| Objective:Through the investigation of clinical data and TCM constitution of stroke high-risk population,the relationship between the risk factors of stroke high-risk population and TCM constitution type was discussed,so as to provide guidance and reference for stroke prevention and physical intervention treatment in advance.Method:Patients at high risk of stroke who met the inclusion criteria in Yueyang Hospital affiliated to Hunan University of Chinese Medicine from January 2021 to October 2021 were selected from an observational study.The screening classification of stroke risk factors in high-risk patients with stroke was collected and the TCM constitution was determined by referring to the TCM constitution classification table.The TCM constitution characteristics of high-risk patients with cerebral infarction were summarized and statistically studied,and the correlation between stroke risk factors and TCM constitution was studied.Result:Correlation between common TCM constitution and high risk factors in high-risk population of ischemic stroke:(1)Phlegm-dampness: the results showed that hypertension(OR=1.081),abnormal lipid metabolism(OR=1.287),smoking history(OR=7.049),overweight(OR=1.533)had statistical significance(P < 0.05).(2)Yin deficiency: The results showed that vascular stenosis(OR=3.912)and diabetes mellitus(OR=9.070)had statistical significance(P < 0.05).(3)Qi deficiency: Results There were statistically significant differences in stroke history(OR=4.406),TIA(OR=14.875)and lack of exercise(OR=12.191)(P <0.05).(4)Yin deficiency: Perform logistic binary regression statistical analysis.Results The history of heart disease(OR=3.859)was statistically significant(P < 0.05).(5)Yang deficiency: The results showed that stroke history(OR=6.821)and lack of exercise(OR=5.453)had statistical significance(P < 0.05).(6)Damp and hot quality: The results showed that smoking history(OR=6.062)and drinking history(OR=2.851)had statistical significance(P < 0.05).(7)Calm quality: The results showed that there was no statistical correlation between each risk factor and whether it was calm quality.There was no significant difference in the distribution of risk factors such as hypertension,abnormal lipid metabolism,stroke,vascular stenosis,smoking history,diabetes,overweight,heart disease,drinking history,TIA and other risk factors in normal population(P > 0.05).Conclusion:1.A higher proportion of males are at high risk of ischemic stroke;There are more men at risk;Higher risk factors.Therefore,the risk of stroke in males is higher than that in females,and men should strengthen the control of risk factors in daily life and clinic.2.The proportion of phlegm in high-risk group of ischemic stroke was the highest.The proportion of phlegm and damp heat in male population was high.In the female population,Yin deficiency and blood stasis accounted for a high proportion.The distribution of phlegm moisture tends to middle-aged and middle-aged people.The distribution of qi deficiency tends to the elderly.According to their physical characteristics,we can guide the high-risk population to carry out physical intervention and adjustment in order to prevent diseases.3.The correlation and enlightenment between various high-risk factors and different constitutions are as follows:(1)Patients with high blood pressure and abnormal lipid metabolism are in the majority in high-risk groups with phlegm-dampness constitution;Smoking,overweight and other risk factors accounted for a high proportion.The control of blood pressure,blood lipids,weight and smoking should be strengthened in people with phlegm and humidity.(2)The risk of vascular stenosis and diabetes increased in high-risk population with Yin deficiency.Patients with Yin deficiency should strengthen the control of diabetes,and improve vascular screening as far as possible,as early as possible to intervene in the treatment of large artery stenosis,reduce the incidence of stroke or improve the prognosis;(3)Most of the high-risk population with qi-deficiency constitution were patients with sequelae of ischemic stroke;Lack of physical activity;Increased risk of transient ischemic attack.People with qi deficiency can carry out appropriate activities or take qi replenishing traditional Chinese medicine to adjust their physique,and usually need to guard against the occurrence of TIA;(4)The majority of patients with heart disease are at high risk of blood stasis.For patients with coronary heart disease or atrial fibrillation,special attention should be paid to the treatment of anticoagulation and anti-plate.(5)Most people at high risk of Yang deficiency have a history of stroke or lack of exercise.Patients with Yang deficiency after stroke can strengthen rehabilitation training or take Yang tonic Chinese medicine;(6)People at high risk of dampness and heat often have bad habits of smoking and drinking.People with hot and humid should control the bad habits of smoking and drinking. |
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