A Preliminary Study On The Correlation Between Stroke Risk And Stroke Risk Factors And Origin Syndromes

Objective:Taking premonitory symptoms before stroke onset as the breakthrough point, through the analysis of the correlation between the onset of stroke aura symptoms before beginning and the release of syndrome elements, and analyzing the relationship between premonitory symptoms and stroke risk factors, take advantage of these connections to preliminaryly explore stroke onset process and influencing factors, provide the basis for stroke prevention and treatment based on syndrome differentiation research, provide support and evidence for early recognition and intervention in stroke.Methods:This study points to two parts, the first part, from the perspective of stroke aura symptoms learn to 2 months before the stroke onset aura symptoms and stroke risk factors as observation indexes, analysis relations between before the onset of stroke aura symptoms and stroke risk factors; The second part to premonitory symptoms before stroke onset of stroke began issuing syndrome elements forecast as the main research content, from the aspects of symptom and syndrome factors of preliminary explored the connection between the two.The first part:The relationship research between two months before the stroke onset aura symptoms and syndrome elements of stroke the release This part puts the aura symptoms before stroke onset as dependent variable, beginning to stroke the release syndrome elements (endogenous wind, fire, phlegm, dampness, blood stasis, qi deficiency, Yin deficiency) as independent variables.Frequency statistics and multiariable Logistic regression method is applied to filter associated with stroke aura symptoms of issuing syndrome elements.The second part:the relationship research between the aura symptoms two months before the stroke onset and stroke risk factors. Extracted from the database,340 cases of stroke patients was observed in 2 months before the onset of premonitory symptoms and stroke risk factors and related information, frequency statistics, logistic regression analysis method is applied to study the relationships between two months before stroke onset transient premonitory symptoms and stroke risk factors.Results:The first part:(1)Syndrome elements of stroke issuance analysisStroke began issuing syndrome elements in the endogenous wind, fire, phlegm dampness, blood stasis, qi deficiency, Yin deficiency syndrome elements, six appears the frequency statistics found evidence that the most elements are endogenous wind syndrome and blood stasis.(2)The relationship research between two months before the stroke onset aura symptoms with the release of syndrome elements.By logistic regression analysis, according to the results of stroke onset in the first two months of premonitory symptoms the partial body numbness is more correlated with endogenous wind syndrome, the partial body unable is related to endogenous wind syndrome, qi deficiency, endogenous wind syndrome is associated with vertigo, related to speak not pure is endogenous wind, endogenous wind syndrome is associated with facial numbness mouth, related to see things not clear is endogenous wind, qi deficiency syndrome, tinnitus is associated with endogenous wind, deficiency syndrome.The second part:Frequency statistics, according to the results of 176 cases of stroke patients have 2 months before the onset of a premonitory symptoms, accounts for about 29.6%. The aura symptoms of statistics, there are 10 kinds of main symptoms, partial body weakness, the most common accounting for 20.9% of the aura symptoms. Using frequency statistics, according to the results of the related risk factors for stroke in hypertension is the most common, followed by diabetes. By logistic regression analysis revealed that the history of diabetes, coronary heart disease history is closely related to a partial body numbness appears before the onset of stroke and as the independent risk factors. History of diabetes is closely related to a partial body weakness and is an independent risk factor for a partial body weakness. History of high blood pressure and smoking history are closely related to the onset vertigo occurred in beforestroke onset,and the prediction and independent risk factors before vertigo occurred in. History of high blood pressure and smoking history are closely related to speaking not pure and the prediction and independent risk factors for the development of speaking not pure. History of high blood pressure is closely related to the onset of a walking shadow and the prediction and independent risk factors of a walking shadow.Conclusion:(1)Two months before the stroke onset foreboding symptom is complex, and found common premonitory symptoms include partial body weakness, dizziness, partial body numb, glossolalia, face your breath numbness, etc., Other symptoms specificity is not strong. In the process of diagnosis and treatment we are not only to identify common stroke precursor, occasional aura symptoms should also be taken seriously and early intervention. This is the traditional Chinese medicine understanding of stroke aura provides evidence-based basis and data support.(2)Before stroke onset aura symptoms associated with stroke risk factors between the two, in the prevention and treatment of stroke, we should pay attention to the relationship between the both, when symptoms of apoplexy patients with the related risk factors should be taken seriously and early intervention.(3)Stroke before beginning the release syndrome elements with the onset of stroke transient aura symptoms have relevance, according to the patient’s aura symptoms predict stroke of issuing syndrome elements, and according to the related syndrome elements to guide clinical syndrome differentiation and prevention. Through the role of the early warning stroke precursor, syndrome differentiation treatment in time,to prevent the happening of the stroke.(4)Based on scientific research and clinical information integration platform, based on the stroke registration system, referring to the research idea of the real world, for state before stroke onset, stroke risk factor and began issuing syndrome elements have carried on the investigation and study. From the perspective of semiotics, the relationship between the precursor before the onset of stroke symptoms and risk factors and the syndrome elements was studied, and provide new ideas for stroke prevention and control of traditional Chinese medicine research.