Study On The Distribution And Influencing Factors Of TCM Syndromes Of Acute Cerebral Infarction With Diabetes Mellitus (Stroke In The Meridians)

Research Objective:To investigate the clinical data of patients with acute cerebral infarction complicated with diabetes mellitus,the relationship between TCM syndrome type and risk factors,NIHSS score and CISS classification in patients with acute cerebral infarction complicated with diabetes mellitus(stroke meridian)was studied.Methods:Continuous collection from October 2015 to November 2016 in Chengdu University of Traditional Chinese Medicine Affiliated Hospital of Neurology and Sichuan Provincial People’s Hospital of neurology medical treatment of the initial onset of acute cerebral infarction with diabetes in 163 patients.After the hospital to collect the relevant medical history,four Chinese medicine and physical examination data,improve the laboratory and imaging studies to further clarify the acute cerebral infarction with diabetes risk factors and CISS classification.Finally,SPSS22.0 statistical software was used to analyze the collected data.Results:Among the 163 patients with acute cerebral infarction complicated with diabetes mellitus,27 cases(17.5%)were phlegm and heat syndrome in TCM syndromes,17 cases(10.6%)were phlegm-Accounting for 27.5%;66 cases of qi deficiency and blood stasis syndrome,accounting for 44.4%;Yin deficiency wind syndrome in 12 cases,accounting for 7.4%,of which qi deficiency blood stasis is its most common TCM syndrome;risk factors and TCM syndrome,The average age of 65.1 ± 11.4 years;women 64 cases,the average age of 67.6 ± 9.3 years old.There were 129 patients with hypertension,accounting for 79%;61 patients with lipid metabolism disorder,accounting for 37.4%;61 cases of smoking history,accounting for 37.4%;29 cases of drinking history,accounting for 17.8%.(P> 0.05).There was no significant difference in the distribution of TCM syndromes between the atherosclerotic and perforating arteries in the CISS classification(P <0.05).Conclusion: There is no significant difference between the two groups(P> 0.05)P> 0.05).In the level of glycosylated hemoglobin,the level of glycosylated hemoglobin in patients with qi deficiency and blood stasis type was higher than that in wind and phlegm type and wind phlegm stasis type.NIHSS scores were higher in the NIHSS score than in the mild and moderate groups.NIHSS scores were higher in the NIHSS score than in the other four types.Conclusions:(1)Qi deficiency and blood stasis is acute cerebral infarction with diabetes(stroke meridian)patients with the most common TCM syndromes.(2)The gender,age and hypertension,dyslipidemia,smoking history and history of alcohol consumption were not the influencing factors of TCM syndromes distribution in patients with acute cerebral infarction complicated with diabetes mellitus(stroke meridian).(3).CISS type is not the influencing factor of TCM syndromes distribution in patients with acute cerebral infarction complicated with diabetes mellitus(meridian of stroke).(4)The level of glycosylated hemoglobin in patients with qi deficiency and blood stasis syndrome was higher than that of wind,phlegm and blood stasis syndrome.(5)The higher the neurological deficit in patients with higher levels of glycosylated hemoglobin.(6)The scores of NIHSS in patients with Qi deficiency and blood stasis were higher than those of other four types.