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A Study On The Relationship Between The Risk Factors Of Ischemic Stroke And The Symptom Factors Of Stroke

Posted on:2011-08-17Degree:MasterType:Thesis
Country:ChinaCandidate:C X QuFull Text:PDF
GTID:2144360305962991Subject:Chinese medicine
Abstract/Summary:PDF Full Text Request
This study aims to understand the risk factors for cerebral infarction and cerebral stroke syndrome factor in the distribution of patients, and to further explore risk factors for cerebral infarction and stroke syndrome element of the relationship, from which point of the development of Integrated Traditional and Western elements Syndrome of stroke card method, while differentiation factor for stroke syndromes provide an objective basis.On 62 cases met the inclusion criteria for risk factors of acute cerebral infarction data survey included gender, age, ethnicity, family history of stroke, living conditions, hypertension, admission blood pressure, diabetes, heart disease, blood lipid, smoking smoking drinking, diet and exercise, body mass index, TIA onset, high sensitive C-reactive protein, anticardiolipin antibodies, arteriosclerosis, carotid artery plaque, recent infection, agitation, etc., and within 24 hours after admission to collect Chinese 4 patient information, including clinical symptoms, tongue pulse and so on, according to diagnosis of stroke according to stroke syndrome factor syndrome factor differentiation. Finally, respectively, and acute cerebral stroke syndrome factor analysis of data describing risk factors and the use of univariate and multivariate logistic regression analysis between the two.Distribution of risk factors for cerebral infarction:62 patients with acute cerebral infarction of 38 cases were male and 24 female; the age of 30-90 years, mean (64.82±2.970) years; of 30 to 50 years from 10 patients,51 of 52 cases of patients-90 years; urban residents accounted for 59.68%, accounting for 40.32% of rural residents; hypertension (46 cases,74.19%); heart disease (14 cases,22.58%); diabetes (22 cases,35.48%); lipid abnormalities (36 cases,58.06%); smoking 37.10%; 11.29% alcohol; lack of exercise,35.48%; usually were 45.16% less meat, more meat were 33.87%,32.26% were more salt, less salt were 17.74%,82.26% of atherosclerosis, plaque 53.23%, high sensitivity C reactive protein were 50%, the average value in the 14.740±2.8306 mg/L; abnormal increase of anticardiolipin antibody were 6.45%, the average value in 5.33840±52008 u/ml, and both patients over the age of 80; recent infection 25.81 percent; 9.68% family history of stroke, (risk factors were cross statistics)Stroke syndrome element distribution:certificate of stroke of 10 basic elements in order of frequency of wind syndrome (60 cases,96.77%), phlegm (21 cases,33.87%) and Qi (18 cases,29.08%), fire certificate (17 cases, 27.42%), blood stasis (15 cases,24.19%), Fu Demonstration (8 cases,12.90%), blood deficiency (4 cases,6.45%), closed evidence (2 cases,3.23%), Yin evidence (1 case,1.61%), prostration syndrome (0,0%). Wind card with the highest frequency of phlegm, deficiency evidence the minimum, not yet collected off syndrome, (syndrome elements were cross statistics)Statistical analysis of risk factors for cerebral infarction and stroke syndrome correlation between the result of factors:the risk factors for cerebral infarction and the wind permits, Fu no significant empirical relationship (P> 0.05); living environment, the recent relationship between infection and phlegm closely (P<0.05); CHOL significant relationship with Qi deficiency (P<0.05); gender, admission systolic blood pressure, salt more evidence of carotid plaque is closely related with the fire (P<0.05); hospital systolic blood pressure, diabetes, less salt is closely related with blood stasis (P<0.05); alcohol consumption is closely related with blood deficiency (P<0.05); closed card, Yin deficiency, removing cards too few number of cases, No statistically significant.The results show that the cerebral infarction by age, risk factors, hypertension, diabetes mellitus, dyslipidemia, carotid atherosclerosis, carotid artery plaque, high sensitivity C reactive protein and other emerging high probability of the incidence of men than women.Ischemic stroke patients in the highest probability of wind syndrome, phlegm, qi deficiency, blood stasis fire card and the second, closed card, off license, Yin deficiency, occur less.Prevailing wind syndrome of acute cerebral infarction; urban residents and the recent associated with upper respiratory tract infection are prone to phlegm; cholesterol increased protective factors is Deficiency Syndrome, CHOL value increased, qi deficiency would reduce the probability of occurrence men appear fire card probability than women, eating a high salt content and with carotid plaques are prone to fire certificates; admission systolic blood pressure higher, the higher the probability of occurrence of blood stasis, diabetes is blood stasis protective factors; drinkers appear higher probability of Blood Deficiency.Many risk factors for cerebral infarction and stroke syndrome toxin may have different levels of contact. Stroke, although the complex and variable syndrome factor, but there are certain rules to follow. Evidence of future stroke syndrome factors should be considered objectively the impact of risk factors for cerebral infarction, in order to accurately and quickly master card factor differentiation. In this study, due to objective conditions, there is insufficient sample size and other factors affected the results of the accuracy and authenticity of risk factors for cerebral infarction and stroke syndrome element of the experiment should be adopted by large sample can be fully demonstrated.
Keywords/Search Tags:ischemic stroke, risk factors, stroke, symptom factors
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