Stroke Sick Palsy Diagnostic Criteria For Research And Clinical Relevant Factors

This subject is a study on the variation regularity of PBP' s gag reflex in stroke to provide scientific clinical data for foumulating PBP' s unified and objective diagnosis standard and also an analysis of relative clinical factors on therapeutic effect on the treatment of PBP in stroke.Gag reflex was selected as a main objective index for diagnosis standard study while gender, age, blood sugar (BS). uribnary specific gravity (USG). fibrinogen (FB), Hematocrit (HCT), platelet gathering rate (PGT), treatment opportunity (TO) as the objective indexes for relative clinical factors observation. Firstly, 300 suitable PBP cases were randomly taken and were divided into three groups.The acute observation group (PBP coming on less than two weeks) was named as A group,the convalescent observation group (PBP coming on from two weeks to three months) as B group, the sequelae observation group (PBP coming on more than three months) as C group and the Chi-square test for gag reflex' s variation regularity in different periods were taken. Secondly.the therapeutic effect of the three groups were compared with Ridit analysis.Thirdly.TO.as a representive factor.was studied and the sample content n was estimated.More than n cases were randomly taken from above-mentioned 300 cases and the Logistic regression analysis and Chi-square test for relative clinical factors were made.The results showed that:1 PBP' s gag reflex in stroke may show thansiently weaken or vanishing in acute period (49.6%) in addition to existing or exciting.2 The influences of relative clinical factors on therapeutic effect in treatment for PBP in stroke were existed.According to statistical disposal, theinfluences of TO,gender,BS?USG on therapeutic effect in treatment for PBP were greater.3. If treated timely in acute period,the BS was controlled under 5.9mmol/l.USG under 1.015,and male patients give up smoking and live a regular life.the therapeutic effect in treatment for PBP could be improved.4.Part of PBP' s gag reflex in stroke may show transiently or lasting weaken or vanishing,we should synthesize the clinical data to distinguish PBP with bulbar paralysis (BP).And during the treatment for PBP.the attentions to TO and other relative clinical factors should be paid to improve the therapeutic effect and to decrease the mortality and disability rate.