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Based On The Syndrome Elements Not Intervention In The Acute Phase Of Cerebral Infarction Risk Stratification Clinical Observation

Posted on:2014-08-04Degree:MasterType:Thesis
Country:ChinaCandidate:L Y WangFull Text:PDF
GTID:2254330425957942Subject:Internal medicine of traditional Chinese medicine
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Objective: According to the syndrome element distribution and Application guideclinical medication prevention of recurrence of stroke,early recognition,expand and richin two stroke prevention. Methods: clinical acquisition of non-115cases of acute cerebralinfarction,according to the Essen risk score,the medical records were divided into lowrisk,high risk,very high risk group three, three groups of patients according to the riskstratification,elements of TCM syndromes in different validity intervention,follow-up6months,changes of TCM syndromes scores,apoplexy curative effect evaluation standardand stroke recurrence were observed before and after treatment. Results: Decreased threegroups of TCM syndromes scores after treatment(P<0.05). The low risk group,highgroup of patients before and after with a single syndrome elements of heat,phlegm,bloodstasis score were significantly different,decreased(P<0.05).Very high risk group ofphlegm,blood stasis,heat treatment and has significantly different(P<0.05), Qideficiency,yin deficieny and yang hyperactivity group showed no significant difference(P>0.05).the blood pressure of the three groups were significantly decreased(P<0.05).while for the antihypertensive efficacy evalution,compared three groups of patients beforeand after treatment the blood pressure,blood pressure has a better curative effect toimprove,with significant differences between the groups (P <0.05), the three groups beforeand after treatment TC, TG, LDL-C were improved significantly(P<0.05),the low riskgroup,high risk group of HDL-C were significantly improved (P<0.05), very high riskgroup HDL-C levels before and after treatment,no significant difference.Conclusion:(1)The growth of the age,increased risk,ESER rated wind level risk,increasedrisk of stroke.(2)Male,menopausal women should pay more attention to the one or twolevel prevention of apoplexy.(3)Heat,phlegm,blood stasis is a common syndrome factors of stroke,clinical intervention effect was significant.(4)Qi deficiency,yin deficiency and yanghyperactivity and deficieny syndrome elements interventions need to persevere.(5)Theindividualized treatment department of internal medicine treatment of non acute cerebralinfarction should pay attention to the combination of Chinese and Western medicalscience,comprehensive intervention syndrome.
Keywords/Search Tags:Cerebral infarction, dangerous Essen stroke scale, essential elements ofsyndrome, clinical observation
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