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Transient Ischemic Attack Points With TCM Syndrome Type Of Correlation

Posted on:2012-06-22Degree:MasterType:Thesis
Country:ChinaCandidate:H H HanFull Text:PDF
GTID:2154330335978925Subject:Traditional Chinese Medicine
Abstract/Summary:PDF Full Text Request
Objective: To transient ischemic attack is common ischemic cerebrovascular disease, was one of cerebral infarction warning signs, is short, reversible, not damaged left any symptoms of neurologic deficits. Its in ischemic cerebrovascular disease, is the most therapeutic value and therapeutic effects of the best cerebrovascular disease. At present, there is no complete clear TIA parting, mostly according to the characteristic of TIA classification performance and imaging findings. According to the university of California Johnston physicians and other prediction transient ischemic attack (TIA) occurred within two days after the stroke of dangerous new model -- ABCD2, will transient ischemic attack into high-risk: 6 ~7 points; In dangerous: 4 ~ 5 points; Low-risk: 0 ~ 3 points three typeAccording to clinical manifestations, transient ischemic attack belongs to the traditional Chinese medicine of traditional Chinese medicine small stroke, syndrome differentiation and treatment of small strokes with very rich clinical and treatment experience. "Only accurately identify master card, to understand and master the happening of the disease, developing and changing rules, with the treatment plan formulated illness[2]." So, in order to bring into full play of TCM transient ischemic attack the diagnosis and treatment of advantage, this study USES transient ischemic attack according to different classification and TCM syndrome differentiation of the organic combination of methods, and discussing the transient ischemic attack points with TCM syndrome type, for the correlation of the transient ischemic attack TCM differentiation to provide a new thinking and method, so as to guide transient ischemic attack of combining traditional Chinese and western medicine treatment, in order to enhance the curative effect, reduce morbidity.Methods: The selected cases are from hebei medical university second hospital medical inpatients, nerve 67 patients are in line with the fourth national boundary in 1995 conference revision of the cerebral diagnostic criteria[3], according to classification standards will patients into high-risk, endanger low-risk TIA three type. According to the syndrome factor ZhuWenFeng dialectical study "syndrome differentiation grain questionnaire TCM syndrome meal differentiation. According to different classification, the selection of clinical significance larger meal of statistical analysis, remembering discussed transient ischemic attack points with TCM syndrome type of correlation.Results:1 Transient ischemic attack and Disease bit sick of the relationship between the syndrome elementsSlip factor for the patients with transient ischemic attack in a proportion of statistics: 62.50% meridian, the liver was 45.30%, comparison between P> 0.05, no significant difference.Syndrome elements of the patients of transient ischemic attack in a proportion of statistics: the highest occurrence rate of sputum 78.13%, 62.50% fixed wind statistics for both the sputum and dynamic winds P> 0.05, no significant Differences.2 Transient ischemic attack type and Disease Slip relationship between elementsThe emergence rate of the meridian is highest, between 40.63 to 100%, low risk and medium risk and high risk were significant differences in comparison P <0.05, and was gradually increased. The emergence rate of the liver is relatively high, at between 34.78 to 55.56 percent, but between three groups P> 0.05, no significant difference in risk from low risk to the upward trend was first decreased and then, the highest risk occurs. Others, such as lung, stomach, large intestine, spleen and other various types of occurrence are low.3 Transient ischemic attack type of syndrome elements and Disease RelationshipThe emergence of phlegm rate has been at a very high level, between 68.75 to 100 percent, three types of comparison P> 0.05, no significant difference in risk from low risk to rise. Fixed rate has been the emergence of the wind permits at a high level, in between 60.87 to 66.67%, III comparison P> 0.05, no significant difference in risk from low risk to first decreased and then increased. Of occurrence of blood stasis has been at a high level, in between 21.74 to 33.33%, III comparison P> 0.05, no significant difference in risk from low risk to the upward trend after the first drop, the highest risk occurs. Yin deficiency in the occurrence rate between 17.39 to 33.33 percent, compared three groups P> 0.05, no significant difference in risk from low risk to first decreased and then showed an upward trend, the highest risk occurs. Others, such as Yang Kang, heat, blood deficiency, qistagnation, the emergence rate of various types of wetlands are low.Conclusion:1 Transient ischemic attack and the Chinese medicine disease a syndrome factor relations shows: the highest rate in the meridian, and with the increase of the risk appears rate increase; meridian the emergence of the liver rate is high and that the liver is collateral channels and transient ischemic attack a major disease syndrome factor.2 Transient ischemic attack and the Chinese medicine disease syndrome factor that the relationship of phlegm and move the wind: rate, explain the wind phlegm is transient ischemic attack of the main disease syndrome factor .3 A disease syndrome factor and disease sex syndrome factor combination for the wind and phlegm obstruction that collaterals, wind and phlegm obstruction winding is transient ischemic attack main syndrome.
Keywords/Search Tags:Transient ischemic attack, Clinical classification, TCM syndrome, Symptom factor of disease nature, Symptom factor of disease location
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