Clinical Observation Of Traditional Chinese Medicine Constitution Intervention Program In The Secondary Prevention Of Ischemic Stroke

ObjectiveThe main purpose of this Prospective randomized controlled study is to explore the effect of the TCM constitution comprehensive intervention program for the secondary prevention of Ischemic Stroke.By comparing the National Institute of Health stroke scale(NIHSS),Chinese constitution classification and decision tables,and Modified Barthel Index(MBI)before and after treatment,it is important to understand the effect on the secondary prevention of Ischemic Stroke,providing multi-angle and more effective clinical evidence for the application of TCM constitution intervention in the secondary prevention of Ischemic Stroke.MethodsA total of 120 patients with diagnosis of Ischemic Stroke in the Neurology,Rehabilitation Clinic and Inpatient Department from June 2019 to October 2020 in Guangdong Clifford Hospital.108 cases were randomly sampled and stochastically divided into Tizhiyaowu group and Danyao group,using the random number table generated by SPSS 25.0 software.According to the guideline for the Secondary Prevention Strategies of Ischemic Stroke,the Danyao group was given aspirin,atorvastatin orally and controlled risk factors as basic treatment,while the Tizhiyaowu group adopted the TCM constitution intervention program in addition to basic treatment.The NIHSS scale,MBI scale and Chinese constitution classification and decision tables were scored before and 3,6 months after intervention.Clinical safety indications(blood routine,urine routine,liver and kidney function,creatine kinase)were monitored.Statistical analysis of the differences in various indicators of patients before and after treatment and evaluation of the clinical efficacy and safety of TCM constitution comprehensive intervention program in the secondary prevention of Ischemic Stroke.Results1.Comparison before and after treatment,comparison within the overall group of the NIHSS scale,there is a significant difference between the Tizhiyaowu group and the Danyao group.The total score and the difference of the total score of the NIHSS scale are significantly different between the Danyao group and the Tizhiyaowu group after treatment.The total effective rate in the Danyao group was 47.06%,and the total effective rate in the Tizhiyaowu group was 81.25%.2.Comparison before and after treatment,comparison within the total group of MBI scale,the Tizhiyaowu group and the Danyao group have significant differences.The total score and the difference of the total score of the MBI scale are significantly different between the Danyao group and the Tizhiyaowu group after treatment.3.After the treatment,the number of gentleness status increased and the biased constitution decreased in the Tizhiyaowu group,having significant differences than before the treatment.The Danyao group had no significant differences before and after the treatment There are significant differences between the Tizhiyaowu group and the Danyao group in the distribution of TCM constitution.4.There is no significant difference in the recurrence rate between the Tizhiyaowu group and the Danyao group.ConclusionTCM constitution comprehensive intervention program can significantly improve the neurological dysfunction and the ability of daily living in patients with Ischemic Stroke,simultaneously regulate the biased constitution and possess a positive effect on the secondary prevention of Ischemic Stroke.