The Role Research Of Phlegm Syndrome Distribution And Evolution Of Hemorrhagic Stroke

Objective:This research is for the purpose of discuss the acute phase of hemorrhagic stroke syndrome pathogenesis by large sample epidemiological investigation, reveals its distribution and combination of dynamic evolution, to explore the phlegm in acute stage of hemorrhagic apoplexy onset and course of action. For the clinical application of treating phlegm method in the treatment of hemorrhagic stroke to provide epidemiological basis of phlegm syndrome, pathogenesis of disease severity and prognosis, and phlegm syndrome and previous history, personal history and laboratory index correlation.Methods:Theoretical research through literature review, summary of stroke disease history, ancient and modern medicine to the understanding of the pathogenesis of stroke and clinical treatment of exploration; Phlegm Documents history, ancient and modern doctors from phlegm treating apoplexy and clinical progress of theory of double. Clinical study on hemorrhagic stroke syndromes are classified on the basis of, used in acute stage of Hemorrhagic Apoplexy Syndrome Diagnostic Scale",926cases of acute stage of hemorrhagic apoplexy patients with syndrome clinical epidemiological investigation, through revealing the eight syndromes distribution, combination rule, dynamic evolution, to display phlegm disease onset and course of machine in the role of. According to phlegm (sputum dampness, phlegm heat), non phlegm (heat and blood stasis, wind, hot, blood stasis, deficiency of Yang, yin deficiency syndrome put together) were divided into two groups, compared two groups of past history, personal history, incidence of stroke disease diagnosis, score, Glasgow score (GCS), modified the RANKIN score and relative laboratory indexes differences, in order to reveal the pathogenesis of phlegm syndrome severity, prognosis and in general, pathogenesis, laboratory indexes specificity.Results:In926cases when the incidence of phlegm syndrome360cases, accounting for38.88%of all syndromes, in percentage ranked third. Along with the course of disease progression and therapeutic intervention, patients with clinical symptoms gradually reduce, reduce phlegm syndrome cases, gradually decreased, but zeroth days, third days, fifth days of phlegm syndrome proportion are located in third, prompting phlegm syndrome at onset occupies an important position, for hemorrhagic stroke incidence important syndromes.Phlegm and clip other is higher than the overall level, especially in the phlegm and blood stasis heat, blood stasis, fiery clip for. Visible, hemorrhagic stroke in acute stage patients with blood stasis syndrome of phlegm syndrome and ease, heat for the disease, from phlegm and blood stasis syndrome of heat node, phlegm and Qi, Yin Yang, clip wind syndrome is also higher than the overall level, prompting phlegm as basic syndrome patients and ease his card Phlegm syndrome and severity, prognosis is closely related. Phlegm syndrome patients at onset of cerebral hemorrhage was18.58±18.15ml, non phlegm syndrome patients was15.60±14.89ml, both compared with significant difference, this phenomenon continued into the twenty-first day course. Phlegm syndrome of cerebral hemorrhages in patients with significantly more than the phlegm syndrome in patients with none.Phlegm syndrome and non phlegm syndrome in patients have certain difference about lipids, coagulation, indexes of blood theology, but without statistical significance. The LDL of Phlegm group value higher than the non-phlegm group.Phlegm group in body weight, body mass index (BMI) and non phlegm group had significant difference between phlegm group, history of hypertension, drinking history, the proportion of high salt and high fat diet history ratio than both the phlegm group, there was statistically significant difference. When the incidence of phlegm syndrome of phlegm syndrome group, blood pressure, blood glucose group had no significant statistical difference, but was higher than the normal range.At onset, duration of eleventh days, twenty-first days, phlegm group stroke diagnostic score, GCS score, modified RANKIN standard scores were significantly higher than those in non phlegm group, prompting in the acute period of21days, phlegm syndrome patients are always in patients of phlegm syndrome for heavy. The two groups of onset and duration of twenty-first days of stroke disease diagnostic score, GCS, modified RANKIN standard score differences, there are differences but without statistical significance.Conclusions:Acute stage of hemorrhagic apoplexy is a complicated disease, with syndrome pathogenesis overlaps, but the phlegm syndrome is a main syndrome in hemorrhagic stroke. Phlegm group easy concurrently other syndromes for disease. Phlegm syndrome of hypertension, obesity, and especially closely related. Patients of phlegm syndrome are heavier and poorer in prognosis than non phlegm syndrome patients. Acute stage of hemorrhagic apoplexy occupies an important position, and clinical treatment of hemorrhagic stroke needs attention from phlegm therapy.