Study On The Correlation Between Progressive Ischemic Stroke And TCM Constitution And Its Risk Factors

Objective:To study the progress of ischemic stroke in patients with physical distribution characteristics of traditional Chinese medicine,Chinese medicine physique in progress differences between groups with the progress of cerebral apoplexy,and study in patients with cerebral artery stenosis site,smoking history,history of diabetes,white blood cell count and other associated with stroke progress whether,for advanced combine traditional Chinese and western medicine in the treatment of ischemic stroke prevention and control to provide theoretical support.Methods:Clinical inclusion of 95 patients with acute ischemic stroke,according to whether meet the diagnostic criteria of progressive stroke into the Stroke in Progression(SIP)group and Not Stroke in progression(NSIP)group,There were 43 patients in SIP group and52 patients in NSIP group;Combined with the medical history and related examination to determine the patient’s TCM constitution;The location of cerebral artery stenosis,gender,age,hypertension,diabetes,smoking history and laboratory examination results were counted.SPSS 26.0 statistical software was used to process and analyze the data.Results:1.Phlegm-moisture constitution was more common in patients with progressive stroke.Patients with phlegm-dampness and blood stasis were more likely to suffer from progressive stroke compared with patients with smooth substance,and the difference was statistically significant.2.Stenosis of anterior and posterior circulation was common in patients with progressive stroke;Compared with posterior circulation stenosis,stroke progression was more likely in patients with anterior circulation stenosis,and the difference was statistically significant.3.There were statistically significant differences in diabetes history,white blood cell count,platelet count,fasting blood glucose and hba1 c between the two groups.Conclusion:1.Phlegm and blood stasis are the risk constitution of progressive apoplexy.2.Patients with anterior circulation stenosis were more likely to have stroke progression than those with posterior circulation stenosis.3.History of diabetes mellitus,high leucocyte count,high platelet count,high blood glucose and hba1 c were risk factors for progressive stroke,among which,high platelet count was an independent risk factor for progressive stroke.