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Isotope Study Of Stroke After-effects Of Card Type-designate And Qi Deficiency Blood Stasis

Posted on:2005-12-07Degree:DoctorType:Dissertation
Country:ChinaCandidate:T JiangFull Text:PDF
GTID:1114360125959458Subject:Medicine medicine encephalopathy
Abstract/Summary:PDF Full Text Request
Objective:1 To probe into the main syndromes of stroke in sequelae phase byFactor anAlysis. 2 To probe into the hemorheology and cranio-hemodynamics in headachewith QDBS syndrome by radio cerebrogram and blood biochemicalindex, to testify a hypothesis(QDBS syndrome is the necessarycondition of cerebral venous stasis). Results:1. Using the factor analysis method, 6 TCM syndromes of Stroke patients in sequelae phase were found; except for stroke Isoforms and SDS score(P0.01),there is no significant statistical difference in the sex, age, clinical categorization of stroke, course of disease, and other accompanying diseases over the distribution of the 6 TCM syndromes (P>0.05). 2.Canonical analysis show that the laboratory indices show no statistical difference in relation analysis. 3. Compairing with healthy control,the blood present a status of Hyperviscosity syndrome in the Headache with QDBS (P<0. 05), Unfortunately, our radio cerebrogram shows a negative effect. Conclusions:QDBS, PHBFQ , SLQ, PYDY, BPSQ , SCS are the 6 main TCM syndromes of stroke in sequelae phase; In addition, for the number one syndrome, the total proportion of QDBS keeps in a high level of 47. 88%,which is accordant with our another estimation method by TMSED (52.72%) .It is an interesting phenomenon in our investigation that traditional five main symptoms are rather alleviated or inapparent than serious for the main conflict ion in stroke sequelae phase, Especially for Symptomless lacunar infarct, whose patients are all lacking in aspect of symptoms. So the result of identifying in this phase trends to a abnormal constitution, which is consistent with the result of Factor analysis, namely SCS.It is maybe related to the un-specif ic index or the sample statisticfor the explain of the factor analysis. As far as present existent literature are concerned, no gold standard was found from micro-index for TCM syndrome. Compairing with healthy control,the blood present a status of Hyper-viscosity syndrome in the Headache with QDBS, But unfortunately, our radio cerebrogram shows a negative effect,which might concerns follows: 1. The chosen sample statistic is small.2.The Severity of the chosen QDBS is tootrivial, it cannot lead to the cerebral venous stasis, though the change of blood viscidity. 3. retrospect ing the former research, we found that the invasive DSA is a rather good method in the research of cerebral venous stasis, Why not radio cerebrogram?which may be relative to the method difference between DSA and cerebrogram,DSA for local CBF,but cerebrogram for whole CBF, In addition,The radio cerebrogram is attached to a half-quantitative method, it is not more sensitive than DSA in determining the nature of some quantitative index,such as velocity or time. Of course, we might also get a positive effect basing on a big sample statistic but for time problem.It is important for traditional prophylactic medicine and traditional rehabilitation science to find out the main TCM syndrome of stroke in sequelae phase. Making use of isotope to research the essential of QDBS,which develope a new approach for TCM syndrome.
Keywords/Search Tags:Stroke in sequela phase, TCM syndrome, Factor analysis, Canonical analysis, Radio cerebrogram
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