Research On Risk Factor And Distribution Regularity Of Syndrome Of TCM Of Stroke

Now in china, the cerebrovascular disease is in the first place in mortality rate. Compared with western developed countries, it was significantly higher in cardiovascular disease in morbidity and motality rate. In china, Each year there were about200,000new onset of stroke patients and150,000of them died of stroke. In Vietnam, the cerebrovascular disease is in the second place in mortality rate. And in1989year, some studies suggest that the morbidity of stroke is25.3/100000, but increased to104.4/100000in the year of1994.Epdemiological studies show the risk factors of stroke including available interventions and unavailable interventions. Risk factors of available inter ventions include hypertension, heart disease, diabetes, dyslipidemia, transient ischemic attack, smoking, alcoholism. Risk factors of unavailable intervention s contain age, gender, race and genetic factors.ObjectiveTo Study the risk factors and traditional chinese medicine syndrome in patients with stroke in china and Vietnam and provide the reference on prevention.Methods131patients in (?) and180cases of control group in Vietnam were collected. The retrospective study was used to adopt and analyze the data of apoplexy correlative factors.ResultThe distribution of risk factors in two groups, A group of China risk factors in proportion to the size of high blood pressure in96patients (73.3%)> diabetes 47patients(35.1%)> hyperlipidemia39cases(29.8%)> smoking in37patients (28.2%)> heart disease23cases (27.5%)> stroke history in16(12.2%)> drinking14cases (10.7%)> around vascular disease in2cases (1.5%)> TIA1cases(0.8%); Group B Vietnam of high blood pressure in112patients (62.2%)> stroke history41cases(22.8%)> hyperlipidemia38cases (21.2%)> diabetes31cases (17.2%)> heart disease26cases (14.4%)> smoking19patients (10.6%)> drinking14cases(7.8%)> TIA3cases(1.7%) and the surrounding vascular disease3cases(1.7%); Age stratification, two groups show with increase of age stroke increase, and the high-risk groups focused on60-80years old; Gender, A group of China has no significant gender difference(1.26:1), group B Vietnam men and women the sex ratio(2.40:1) is very big. In ischemic stroke and hemorrhagic stroke the risk factors in the relationship by the regression analysis, did not show statistically significant (P>0.05). In China ischemic stroke mainly wind-phlegm stagnation, phlegmy-heat setting empirical primarily, hemorrhagic stroke with the wind-fire interference, wind-phlegm stagnation, phlegmy-heat setting empirical wait to give priority to. From stroke syndrome and risk factors to see, the wind-phlegm stagnation syndrome had a significant relationship with high blood pressure, high blood fat, diabetes, heart disease, smoking, alcohol consumption. The wind-fire interference had correlation with high blood pressure, heart disease and drinking, but had no significant correlation with high cholesterol, diabetes, stroke, smoking history. Phlegmy-heat setting the empirical and stroke risk factors had no correlation.ConclusionThe risk factors between both sides are different, so the prevention and treatment measures should be different. There are no obvious difference between hemorrhagic stroke and ischemic stroke risk factors. Stroke syndromes have correlation with risk factors. Stroke syndrome study can provide basis for clinical early treatment.