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Investigation On Physical Constitution Types Of 185 Elderly Patients With Acute Ischemic Stroke

Posted on:2016-06-01Degree:MasterType:Thesis
Country:ChinaCandidate:Y M LiFull Text:PDF
GTID:2134330461992999Subject:Diagnostics of Chinese Medicine
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Acute ischemic stroke is clinical common disease, frequently-occurring disease, is one of the important killer threatening human life and health. With the spread of \"cure not ill\" concept, the development direction of the constitution theory of TCM, the study of acute ischemic stroke in the elderly of different incidence, improve the quality of life and health has become the inevitable trend of the contemporary medicine. Study of patients with acute ischemic stroke TCM constitution type distribution characteristic, at the same time analysis of acute ischemic stroke patients with acute ischemic stroke TCM constitution type independent risk factors of relevance. Investigate the relationship between TCM constitution type with acute ischemic stroke, for analysis of the occurrence of cerebral infarction progress from the aspects of constitution of traditional Chinese medicine, syndrome differentiation and treatment, and prevention and rehabilitation prognosis judgement according to provide the corresponding theory. Ischemic stroke including transient ischemic attack (about 10%), cerebral thrombosis and cerebral embolism (about 50%). Transient ischemic attack is also called small stroke, is the forerunner of cerebral thrombosis and cerebral embolism. Ischemic stroke prevalence increased year by year, the death rate also increased gradually, make the social and economic burden, has now become an important public health problem, so it is urgent to improve the level of its prevention and control. So the study at the same time also for the use of traditional Chinese medicine physique learn to predict the onset of acute ischemic stroke risk, make the aftercare body become a kind of acute ischemic stroke prevention measures to provide clinical basis accordingly.Mehtod:Collected 185 cases of senile patients with acute ischemic stroke and 30 cases of patients with acute ischemic stroke in the general data, using traditional Chinese medicine health scale for assessment of acute ischemic stroke patients and patients with acute ischemic stroke TCM constitution type, and record related risk factors in patients with acute ischemic stroke, adopt statistical method of correlation 托 department carried out a statistical analysis on the result of the investigation.Result:1. Patients with acute ischemic stroke TCM physical distribution as follows:mass (40.00%), blood stasis and phlegm wet mass (21.62%) deficiency of mass (17.84%), Yin deficiency (12.97%), qi depression (4.86%), and mass (3.24%), hot and humid mass (2.16%), the great mass (0.54%)2. The percentage of the age composition of acute ischemic stroke,60 69 years old, a total of 69 cases, accounted for 37.30%; 70-79 years old, a total of 73 cases, accounting for 39.46%;> 80 years old, a total of 43 cases, accounting for 23.24%. Results show that in 70-79.age group most of the elderly patients with acute ischemic stroke, followed by 60-69 years of age. Different age groups at the same time the most frequency bias of physical distribution is as follows:60-69 age group, phlegmy wet mass (20 times,28.99%), deficiency of qualitative (15, 21.73%), blood stasis quality (14 times,20.29%); 70-79-year-old set of blood stasis (30 times,41.10%), deficiency of mass (7%),21, 28,; More than 80-year-old set of blood stasis (26 times,60.47%), qi deficiency (16 times,37.21%). Results show that higher than 60 in patients with ischemic stroke as the growth of the age, blood stasis constitution types corresponding to the increasing trend.3. Select group of 185 cases of acute ischemic stroke, simple constitution in 141 cases, and relying on physical 44 cases. Two kinds of constitution and 36 cases (15.46%), three kinds of constitution and 8 cases (4.32%). Appear most frequency and relying on qi deficiency constitution is blood stasis (8) and Yang deficiency and blood stasis (5 times),30 cases of control group, the pure physical 26 cases,4 cases and carry constitution. There is no obvious statistical difference between two groups.4.185 subjects were classified by gender,114 cases (61.62%) of men, women,71 cases (38.38%). The results showed that the pathogenesis of acute ischemic stroke TCM constitution type has nothing to do with sex.5. Results show that the type of smoking on the health of the patients with acute ischemic stroke have a certain degree of influence, cases of patients with acute ischemic stroke group of smoking and the crowd not smoking patients with TCM constitution type have statistical significance. In patients with phlegm wet mass whether statistically appeared on the situation of smoking.6. Drinking and not drinking in patients with acute ischemic stroke TCM constitution type has no obvious difference, P>0.05). But, according to the analysis results of drinking has a certain degree of influence on hyperlipidemia, and statistical differences.7. Mind you, fat in patients with acute ischemic stroke have a certain degree of influence. Damp heat constitution in mind you, whether rich there was statistical difference,8. Through the study found that whether the ischemic stroke patients with diabetes mellitus between TCM constitution type (P>0.05, no statistical significance.9. USES the statistical correlation analysis method, the result shows that whether the merger of high blood pressure in acute ischemic stroke in patients with TCM constitution type distribution influence, there is statistical significance. High blood pressure for TCM constitution tgpe.of phlegm wet mass effect is outstanding, there is an obvious statistical difference.Conclusion:To sum up, qi deficiency blood stasis, phlegm wet qualitative and qualitative common TCM constitution type for acute ischemic stroke. Age, smoking, hypertension and related risk factors of acute ischemic stroke TCM constitution classification has a certain degree of influence. Gender, alcohol consumption, and high cholesterol, diabetes and other related risk factors of patients with acute ischemic stroke TCM constitution classification has no obvious influence.
Keywords/Search Tags:The elderl, The doctor of traditional Chinese, medicine physique study, Acute ischemic stroke
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