| Stroke, is the most familiar nervous system disease of threatening human health, which is the second causing death the disease in adults in our country, with the high incidence of a disease, high death rate, high rate of cause to incomplete, and high recur rate Particularly, Cerebral Infarction (CI) is the most frequently. Though CI is not truculence, it threatens human health and exist the quantity, seriously, with the high rate of cause to incomplete according to the World Health Organization (WHO) report, in 1999, the number of death from suffering stroke is 5,540,000 in whole world, among them 2/3 take place to developing country. Formation mechanism of CI has not yet clarify completely, but the research enunciations, the occurrence, development of CI has closes with blood vessel narrow outside and inside of skull, thinking it is one of the important factors that main artery stricture and obstruct outside and inside of skull, the unsteady artery atherosclerosis block breaks off outside and inside of skull, which causes CI directly. it is easy to appear CI or lack of blood because of the blood stream dynamics changes, When blood vessel is narrow outside and inside of skull.In the former treatment, only paying attention to curing disease, but neglecting to diagnosis and handle of the cause of disease, which causing high recur rate of CI. With development of the technique in every kind of nerve blood vessel image and intervention cure, at present, digital subtraction angiography (DSA) is being as the gold standard in diagnosing blood vessel narrow and occlusive. The check of DSA can observes blood vessel frankly, blood state, and accurately measure diameter of blood vessel, and definitude the narrow part and the narrow degree of blood vessel and the growth state of the branch circulation, which increases consumedly diagnostic accuracy, and offers the information of the view to perfect diagnoses and the next treatment. digital subtraction angiography (DSA) has increased the rate of masculine of The brain blood vessel obviously, offered good terrace for intervention cure.Our study, by digital subtraction angiography (DSA) to CI sufferers, it can be observed blood vessel configuration characteristics and the part of pathological changes, by which to observe and stat blood vessel narrow, to investigate the dependability between blood vessel configuration characteristics and different patterns of CI syndromes in traditional-Chinese medicine, to provide evidence for the subdivision of differentiation of symptoms and signs for classification of syndrome of CI in traditional-Chinese medicine, So the clinical determination of treatment based on differentiation of symptoms and signs can be better guaranteed. At the same time, a series of study again approves that these relevant studys of CI and blood vessel narrow degree and the part between domestic and international.Method:According to the national Chinese medicine management bureau brain disease and acute disease scientific research cooperation draft out and make《stroke disease diagnosis curative effect and assessed standard》(try in 1995) and ((Treating Practice and standards revised)) by C.M.A (Chinese medical association) in its fourth national CVD(Cardiovascular Disease) academic conference in 1995. we divided 120 cases of patients with CI into, divided into seven certificates type:Phlegm-Heat and Fu-organ Constipation 8 case,Wind Phlegm and Blood-Stasis 35 case, Phlegm wet and trouble consciousness 11 case, Wind Phlegm and fire up stirring 20 case, Deficiency of Vital Energy and Blood Stasis 16 cases, up stirring of Wind-Fire 18 cases, and stirring of wind due to deficiency of YIN 12 cases respectively. Passing the DSA, it definitudes the part and degree of 1 pathological changes in 120 sufferers.All data is inputted into computer, managed and processed by SPSS. X2-test (numeration data). Two-sided test(Size of test a=0.05) is applied.Result:1 120 cases of patients with CI, the comparison of Chinese medicine certificate type from big to small:Wind Phlegm and Blood-Stasis> Wind Phlegm and fire up stirring> up stirring of Wind-Fire> Deficiency of Vital Energy and Blood Stasis> stirring of wind due to deficiency of YIN> Phlegm wet and trouble consciousness> Phlegm-Heat and Fu-organ Constipation.2 120 cases of patients with CI, CI of former and after circlation has statistics sense distinctly with Chinese medicine certificate type. p<0.05 (0.005)3 120 cases of patients with CI, the comparison of pathological changes number from big to small:Single pathological changes> several pathological changes> double pathological changes.4 120 cases of patients with CI, the part of pathological changes and the degree of blood vessel straitness has statistics sense distinctly.p<0.05.5 120 cases of patients with CI, the vascularity type of former and after circlation has not statistics sense distinctly Chinese medicine certificate type. P>0.05.6 Amony Chinese medicine certificate type, the comparison of the number of implicates blood vessel from big to small:stirring of wind due to deficiency of YIN> Phlegm-Heat and Fu-organ Constipation> Wind Phlegm and Blood-Stasis> Phlegm wet and trouble consciousness> up stirring of Wind-Fire> Deficiency of Vital Energy and Blood Stasis> Wind Phlegm and fire up stirring.Conclusion:1 120 cases of patients with CI,the patients with CI of up stirring of Wind-Fire have come up CI of the after circlation, the patients with CI of Deficiency of Vital Energy and Blood Stasis and Phlegm-Heat and Fu-organ Constipation have come up CI of the former circlation.2 When CI of the former circlation, the degree of blood vessel pathological change is lighter, the after circlation is opposite.3 120 cases of patients with CI, the Chinese medicine certificate type and the part of pathological changes blood vessel has not statisticses difference. May be because the number of sample is smaller, examine is not enough effect. But we can see, the patients with CI of Phlegm-Heat and Fu-organ Constipation has come up blood vessel pathological change in the former circlation mostly.4 120 cases of patients with CI, the Chinese medicine certificate type and the degree of blood vessel stratness have not statisticses difference, but we can see, pathological changes blood vessel of Phlegm-Heat and Fu-organ Constipation lecate between light degree and hit degree,pathological changes blood vessel of Deficiency of Vital Energy and Blood Stasis lecate between weight degree and close. |
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