Purpose:Patients met the inclusion criteria collected through clinical research methods. Using cluster analysis method of the first phase of the syndromes of shoulder-hand syndrome in depth. Provide scientific shoulder-hand syndrome differentiation syndrome, objective basis. Promote physical rehabilitation of stroke patients with hemiplegiaMaterial and method:This study used epidemiological field investigation methods and objective, detailed questionnaire developed. According to the election included strict standard to select from November 2014 to March 2015 at a rehabilitation center affiliated hospital of Liaoning University of Traditional Chinese encephalopathy hospitalized patients. The collection includes general condition of patients, duration of the first phase of shoulder-hand syndrome and related medical history, physical examination, symptoms, tongue, pulse and other information. Using cluster analysis method for Phase I shoulder-hand syndrome syndromes classified. Study the disease, the relationship between the various syndromes related indicators and the use of methods and rank sum test, variance analysis.Results:Patients met the inclusion criteria a total of 106 cases, of which the youngest is 32 years old and the oldest 80 years old, the average age of 59.18 years. Wilcoxon paired test by law, sex has nothing to do with the onset of stroke shoulder-hand syndrome Phase I, with some differences between the different age groups, in which more than 51-60 years old(average rank: 87.00). Qi deficiency syndrome were not delivered, Phlegm- stasis, phlegm-dampness, yin deficiency syndrome: results, post-stroke shoulder-hand syndrome Phase I is divided into four syndromes through cluster analysis. 51 patients with phlegm network card, the proportion was 48.1 percent, in the four syndromes highest proportion, so phlegm collaterals in shoulder-hand syndrome after stroke I of the most common. In the cause of research, emotional change causes the highest proportion of the total 76.41%, by rank sum test results, there are some differences between I-related cause of illness caused by a stroke of shoulder-hand syndrome. Among emotional factors most closely. The relationship between the TCM type I in the relevant aspects of the examination and stroke shoulder-hand syndrome, by completely randomized design of single factor analysis of variance, Fugl-Meyer upper limb motor function score, VAS score of the four syndromes no difference between.Conclusion:By rank sum test results the first phase of the shoulder-hand syndrome is closely related with age of onset, age of onset concentrated between 51-60 years old. Emotional changes affect the incidence of shoulder-hand syndrome. Four diagnostic data collected for symptomatic patients met the inclusion criteria of 106 cases of shoulder-hand syndrome, tongue, pulse, etc. to be summarized by cluster analysis into four syndromes namely: Qi does not transport permits, phlegm network card, phlegm-dampness, yin deficiency syndrome. Phlegm- stasis in which the four most common syndromes. And through the one-way ANOVA results Fugl-Meyer upper limb motor function score, VAS score was no significant difference between the syndromes. |