Objective: By measuring the acute phase of ischemic stroke in different TCM syndrome types of plasma homocysteine, fibrinogen levels, as well as the various TCM syndrome types degree of neurological deficit score, explore different TCM syndrome types of plasma homocysteine, fiber differences in levels of fibrinogen and various TCM syndrome types neurological deficits and the two indicators of the level of the relationship between traditional Chinese medicine for ischemic stroke sub-type of dialectical objective basis to explore two indicators in the assessment of acute ischemic stroke in different types of the role of TCM and the correlation between the two.Methodology:Meet the standards of clinical collection of 90 patients with acute ischemic stroke patients, stroke patients according to TCM diagnosis and efficacy evaluation standards for TCM will be divided into three types:wind phlegm and blood stasis of blood, Bizu context permits; liver yang, Wind & Fire on the interference card; phlegm-heat internal organs fact, wind phlegm on the interference card; Were referred to as wind phlegm type, building on the disturbance type, phlegm Fu solid type, phlegm-heat internal organs empirical. Admitted to hospital the next morning fasting blood collected elbow, plasma homocysteine, fibrinogen level, blood and liver and kidney function. Admitted to hospital the same day as the clinical neurological deficits score to measure the extent of different syndromes the difference between the critical and will score the data and homocysteine and fibrinogen test results for statistical analysis of different types correspond to TCM for more than two statistical analysis of the results of indicators were observed between the two indicators at different levels of TCM syndromes of whether the differences and whether the correlation between the two indicators. As well as between different TCM syndrome types blood routine, liver and kidney function test results of statistical analysis, to observe the indicators in whether the difference between the various syndromes.Results:1. Ischemic stroke patients Hcy, Fg was significantly higher than both the normal control group, P<0.05; Between the three syndromes Hcy, Fg levels are more differences, P<0.05; Hcy level of expression of the results:phlegm Fu solid type, followed by wind phlegm type, wind, fire, disturbing the upper minimum; Fg level of expression of results To: type the maximum wind phlegm, phlegm Fu fact-based second, wind, fire, disturbing the upper minimum.2. Three syndromes neurological deficits compared between the significant difference, P<0.05; wind phlegm type to moderate levels (43.75%); wind, fire, disturbing the upper to the main light (53.30%); phlegm Fu mainly solid pattern with severe (42.86%). Hcy, Fg levels and three card-based neurological deficits compared between the significant difference, P<0.05, Hcy, Fg levels increased with the degree of neurological deficits and higher.3. The study of cases, hypertension, diabetes, blood lipid levels of different syndromes Hey, Fg levels were not affected, suggesting that high Hey, Fg hyperlipidemia is an independent factor unrelated to these factors.Conclusion:1. Ischemic stroke patients with the syndrome and Fg levels of plasma Hey and ischemic stroke Syndromes There is a certain relationship: Hcy level of expression of the results:phlegm Fu solid type, followed by wind phlegm type, building on the interference Type minimum; Fg levels of expression of the results: type the maximum wind phlegm, phlegm Fu fact-based second, wind, fire, disturbing the upper minimum. Tips Hey, Fg levels for acute ischemic stroke type of syndrome differentiation to provide objective measurement of acute ischemic stroke type.2. Patients with different syndromes of neurologic impairment are different:the wind phlegm type to moderate levels, building mainly on the disturbance type with mild, phlegm Fu mainly to the severely practical type; plasma Hey, Fg levels as measured in patients with ischemic stroke neurologic impairment indicators, their relevance to: Hcy, Fg the higher the level, the more severe neurologic impairment.3. High Hey hyperlipidemia hyperlipidemia and high Fg ischemic stroke were independent risk factors; Hcy, Fg two indicators between different syndromes not related. |