Correlative Analysis Of TCM Syndromes, Syndrome Points And NIHSS Score Of Ischemic Stroke

Purpose:to observe the first onset of ischemic stroke(Cerebral ischemic stroke, CIS) in patients with acute phase(72 hours) the characteristics of TCM syndrome types, the differenc-e between the total integral and NIHSS score, to explore their inner link.Materials and methods: 1. By looking at ask smelling cut four or three gathering the acute phase of ischemic stroke patients(72 hours) of all the signs and symptoms, according to the standards of syndrome-differentiated diagnosis of "stroke" in the content of the project assignment of the corresponding points score, and patients are calculated separately, and the wind syndrome, heat syndrome, phlegm and blood stasis syndrome, qi deficiency syndrome, Yin deficiency hand six basic syndromes scores, then according to the score card model diagnosis, calculate card type syndromes total score; At the same time the NIHSS score rating scale for patients with nerve function defect degree, record the total score. 2. Data statistics processing:(1) the measurement data using mean + /- standard deviation;(2) the type of syndrome between the total integral, neural function defect scale compared with normal using t test, does not conform to the normal use rank and inspection;(3) syndrome integral relationship with NIHSS score by correlation analysis.Results: 1. Ischemic stroke acute phase(72 hours) master card type of syndrome type distribution is given priority to with the wind the evidence, the largest proportion of Yin hand is given priority to license. 2. Phase and syndrome type distribution in two phase and syndrome type(about 58.0%), the largest proportion of three certificates and times, single card, 4 and 5 card one phase and scale is relatively small, there is no card of six phase and cases. 3. The comparison between different master card card type:(1) the total integral syndrome comparison: the evidence is given priority to with the wind, heat, phlegm syndrome type and deficiency of license comparison difference was statistically significant(ρ < 0.05), and given priority to with the wind license and give priority to with Yin deficiency hand license comparative differences are statistically significant(ρ < 0.05);(2) the NIHSS score comparison: there was no statistically significant difference(ρ> 0.05);(3) correlation analysis: each group total integral syndrome with NIHSS score(mainly divided by the deficiency of license) was significantly positively related to(ρ< 0.01), especially given priority to with phlegm syndrome is the most closely related degree. 4. The actual situation on the comparison between type:(1) the total integral syndrome compared with NIHSS score: differences were statistically significant(ρ< 0.01), and given priority to with the real person is given priority to with the virtual syndrome and total integral NIHSS score higher;(2) the correlation analysis, the actual situation on different syndrome types syndromes and NIHSS score was positively related to total integral(ρ< 0.01). 5. Comparison between phase and card type:(1) the total integral syndrome compared with NIHSS score: a single type of syndrome type, two phase and differences were statistically significant compared with other groups(ρ< 0.05), three certificates, 4, 5 card one phase and there was no statistically significant difference between the evidence type(ρ> 0.05);(2) the correlation analysis: in addition to the single card type, each syndrome total integral was a positive correlation with neural function defect scale(ρ< 0.05), and with the higher total integral syndrome, NIHSS score is higher.Conclusion: 1. For the first time within 72 hours of ischemic cerebral apoplexy syndrome type of traditional Chinese medicine is relatively simple, with two phase and syndrome type covers the proportion is the largest. 2. Acute ischemic stroke is given priority to with the wind, heat, phlegm syndrome during its mainly qi deficiency syndrome degree is more important than certificate of proof. 3. Focus on empirical evidence its syndrome and neural function defect degree all over the evidence is given priority to with deficiency syndrome type. 4. Three certificates, 4, 5 card one phase and its syndrome and neural function defect degree of evidence than Jian Zhe documents, two phase is more serious. 5. Degree of total integral(syndrome of moderate or above) and NIHSS scores were positively correlated.