The Distribution Of Risk Factors For Stroke Syndromes And Comparison Intervention Trends

Background:Stroke, also known as cerebral apoplexy or cerebrovascular accident, is one of the three causes of death worldwide at present. The characteristics of stroke are the high rate of incidence, mortality, morbidity, subsequent syndrome and recrudescence and low cure rate. The dangerous factors, which could guard against the occurrence of stroke, are generally accepted by scholars of home and abroad at present。They are hypertension, hyperlipemia, atherosclerosis, diabetes, smoking, addicted to drink and bad habits and custom and so on. From ancient times to the present, traditional Chinese medicine has a profound understanding of the dangerous factors of stroke. The research gains some effect. Now the news report of research about using comprehensive acupuncture on intervention treatment of the patients who have the dangerous factors of stroke cannot be seen. So the purpose of the subject is to observe the relationship and the development regularity between the distribution characteristic of syndrome and the dangerous factors of stroke, and it is also to observe the changes characteristic of syndrome after the intervention treatment of comprehensive acupuncture and whether it obviously influence the incidence of stroke or not.Purpose:To observe the distribution characteristic of syndrome of the dangerous factors of stroke and the changes tendency of syndrome after the intervention treatment of comprehensive acupuncture, and to find simple and effective intervention methods of Chinese medicine guarding against the occurrence of stroke. Methods: Observation crowds were the patients who have the dangerous factors of stroke in two communities (Baimi Community and Liuyinjie Community) of Xicheng District. They were randomly divided into two groups in time order of observation. They were the control group with 212 cases and the treatment group with 228 cases. The control group used common therapy methods (community health education, change eating, drinking, living and necessary drug therapy); the treatment group used common therapy methods and comprehensive acupuncture. Chinese medicine syndrome was used to intervene the treatment of the patients, who had the dangerous factors of stroke, and to observe and compare the distribution of TCM syndrome and their development. Evaluation methodology referred to 1994 the National traditional Chinese medicine management brain disease research group issue "the Stroke Got sick the Dialectical Diagnosis Standard" which stimulated the quantitative diagnosis standard of six syndrome of wind, fire, phlegm, stasis, deficiency of vital energy and asthenic yin causing predominant yang. The score of every syndrome was to add the highest score of all kinds of elements of the syndrome together. The full marks of every syndrome was 30.≥7, the syndrome was established; 7-14, the syndrome was mild; 15-22, the syndrome was medium;≥23, the syndrome was serious.Results:①Risk factors for stroke in patients with Syndrome Distribution:hot syndrome (42%) of the highest frequency; phlegm syndrome (31%), blood stasis (31%), and permits a higher frequency; yin deficiency (27%) and Qi deficiency (26%) and wind syndrome (9%) occurred less frequently. Syndrome in patients with stroke frequency as follows:Wind Card (88%), yin syndrome (63%), hot syndrome (59%), qi deficiency (56%), blood stasis (43%) and phlegm (43%); fire certificate (41%) cards in the higher frequency of hypertension; sputum card (46%) and hot syndrome (45%), hyperlipidemia in patients with evidence in the higher frequency; hot syndrome (44%), and yin deficiency (43%) in the higher frequency of diabetes; hot syndrome (41%) and blood blood stasis (39%) in the higher frequency of coronary heart disease. Syndrome of hypertension have significant differences, diabetes mellitus was no significant difference between the syndrome.②Syndrome risk factors for stroke and the relationship between factors:age, the incidence of fire permits increased significantly decreased; smoking and drinking on the significant effects Syndrome (P<0.05); smokers suffering from blood blood stasis (39%), fire certificate (39%), phlegm (39%) and yin deficiency (38%) higher proportion of drinkers suffer from hot card (41%) and phlegm (40%) proportion of higher.③Integrated needle-intervention and intervention after six months, one year after the syndrome score had significant differences (P<0.05), the comprehensive treatment of acupuncture for six months to a year syndrome score significant effect. Phlegm, blood stasis of liver wind syndrome and integrated acupuncture was more effective than other syndromes, comprehensive acupuncture for phlegm, blood stasis of liver wind syndrome and curative effect.Conclutions:The most dangerous factors of stroke are wind, phlegm, and stasis. The Chinese medicine syndrome of comprehensive acupuncture (body acupuncture, abdomen acupuncture, venesection and phlebotomy therapy and point application and so on) is used to treat the patients who had the dangerous factors of stroke. The comprehensive acupuncture has a intervention effect of treatment and he distribution of syndrome and improvement of them. The incidence of stroke disease effects need to be further research with larger samples and a long time.