| Objective:In order to observe the affect of Vertigo Syndromes in different diseases, course,and clinical conditions,in order to observe the Value of Vertigo Clinical Research by TCD,We designed this experiment.We carried out comparative analysis of indicators of vertigo syndrome distribution of one hundred twenty cases of vertigo patients,who Differentiate Insufficient liver and kidney and Dampness in the resistance,in different diseases,course,and clinical conditions,in Syndrome combined with the model.We detect sixty patients of Vertebrobasilar insufficiency,explore the research model and influencing factors of vertigo complex syndrome diagnostic criteria,and explore the objective criteria of subjective symptoms.The exploration dizziness gets sick the compound card to wait to see the doctor breaks the standard the research pattern and the influence factor,and carries on the preliminary discussion to the subjective symptom objective standard.Content:Papers include two parts,one is the clinical research of Syndrome Diagnosis of Traditional Chinese Medicine,the other is sixty cases of dizziness observed in patients with TCD,who Differentiate Insufficient liver and kidney and Dampness in the resistance.The first part of describe the research of the definition,pathogenesis,modern medicine for the diagnosis of vertigo syndromes of Traditional Chinese Medicine. Part of clinical research,we observe the distribution of the vertigo syndrome diagnosis in different diseases,different courses,and different clinical conditions, and Comparative Analysis,with the inclusion criteria of the one hundred and twenty cases.We readjust the Syndrome diagnosis according to single Card type and diagnostic criteria.And according to the sole card and the diagnosis basis readjusts the card to wait to see the doctor breaks the composition target. The other include the pathogenesis of vertigo,pathogenesis of vertebrobasilar insufficiency,and diagnostic features,the diagnosis of vertebrobasilar insufficiency and applications of evaluation with TCD,and the relation between vertigo syndromes and TCD.Part of clinical study,according to different age, course and severity of vertigo with TCD,we analysize the detection values in a variety of influencing factors,For sixty cases in line with the vertebral - basilar artery insufficiency in patients with the diagnosis of vertigo.We detect the TCD results to analyze the difference between thirty eight patients who owing to dampness in the resistance and insufficient liver and kidney and twenty two patients who owing to single syndrome.The compound card and the sole card with the TCD unusual blood vessel number to compare,left side the compound card of the arteria vertebralis Vs unusual blood vessel number and the sole card of comparison have statistics significance(P＜0.05),left side the compound card of arteria vertebralis Vs reduces the blood vessel number to be more than the sole card of blood stream speed to reduce the blood vessel number.Other target comparison has not seen statistics difference.Analysis of vertebral-basilar artery insufficiency in patients of different factors affect the characteristics of TCD test results,and of which thirty eight cases of phlegm in the resistance and lack of evidence of liver and kidney and twenty two cases of vertigo in patients with syndrome of vertigo in patients with a single to TCD detection, analysis of different certification designate the difference between the TCD.Results:They have different distribution of one hundred and twenty cases of vertigo patients designate targets in different diseases affection.We Compare the two diseases,vomiting is prominent with Vertebral-basilar artery insufficiency patients,but headache,tinnitus,chest tightness,and weakness in Back and knees are more prominent with Hypertensive patients;vomiting is prominent with Course of less than one year,but Tinnitus,palpitation,chest tightness,and headache are more prominent with course of more than one year;palpitation,chest tightness,and headache are more prominent with Patients with serious,there are significantly different between Patients with serious and light condition. Each syndrome has attribute indicator,the diagnosis of complex syndromes Include attribute of single syndrome.We judge Complex Syndromes patients who owing to dampness in the resistance and insufficient liver,they must have two part representative symptoms,that is,they must have one parts of the Chest tightness,nausea,and vomiting,they must have one parts of the tinnitus, insomnia,and weakness of Waist and knees.We adjust Syndrome diagnosis based on this standard,fifty one vertigo patients owing to Hypertension and thirty vertigo patients owing to Vertebrobasilar insufficiency among eighty nine vertigo patients owing to dampness in the resistance and insufficient liver. Waiting to see the doctor based on this standard adjustment card breaks the composition target,satisfies the condition the phlegm wet anti- concurrently hepatorenal insufficient card period of five days patient eighty nine examples, in which hypertension sickness dizziness 51 Examples,zhui-basis artery blood supply insufficient dizziness thirty eight examples. With the increased incidence of age,they reduce the flow velocity in Systolic, diastolic,and have higher pulsatility index of sixty cases of vertebral-basilar artery insufficiency vertigo patients.A number of indicators were statistically significant differences(P＜0.05) Compared with two age groups.TCD of the vertigo attack check indicators,the number of abnormal systolic blood vessels accounted for fifty six point eight perscent,the number of abnormal diastolic blood vessels accounted for fifty eight point nine perscent,the average flow rate of the number of abnormal blood vessels accounted for fifty one point two perscent,Three indicators to reduce the main flow velocity:reduced blood flow velocity is prominent:abnormalpul satility index accounted for fifty three point six perscent,Abnormal resistance index accounted for twenty nine point six perscent, Two indicators were higher.Under the influence of different course and degree of disease,Indicators about TCD are no significant difference(P＞0.05).The vein of abnormal blood flow velocity of patients owing to dampness in the resistance and insufficient liver,decreased fifty two point six percesent and increased hint point six percesent of the systolic,decreased fifty one point eight percesent and increased six point one percesent of the diastolic,decreased forty eight point two percesent and increased six point seven of the average velocity, three indicators to reducethe main flow velocity;decreased forty eight point two percesent and increased six point seven percesent of the volatility index, elevated part is main,decreased twenty five percesent and increased ten point four percesent of the resistance index elevated part is main too.They have statistical significance(P＜0.05) between complex Syndromes single Syndrome about the left vertebral artery and abnormal blood vessels,others have no statistical significance. |
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