The Preliminary Exploration Of The Distribution Situation And Evolution Pattern Of Syndrome Factor Of Postoperative Hemorrhagic Stroke

ObjectiveThis study is for the purpose of discuss the postoperative hemorrhagic stroke syndrome pathogenesis by collecting TCM information from patients, reveals its distribution situation and evolution pattern of syndrome factor. TO deepen the understanding of the syndrome and further improve these research. It provides a new way of thinking the treatment of the acute phase of postoperative hemorrhagic stroke.MethodsTake cross-sectional survey research and collect in keeping with the ease of80example. Meanwhile differentiate syndrome on the preoperative(0),3rd,7th,14th,21th day after the patients to be in our hospital. Analysis the TCM syndrome of the postoperative hemorrhagic stroke in distribution situation and evolution pattern. The case of the baseline data and statisties by19.0spss soieware for statistieal analysis, the final conelusion.Results1. Syndrome distribution:The main factors of hemorrhagic stroke is wind syndrom, and the proportion decline gradually over time. Heat syndrom is one of the important elements, and showed a downward trend after the first (3rd day) rising. Phlegm symdrom runs through the process of postoperative hemorrhagic stroke. The incidence of wind syndrome, heat syndrome and phlegm syndrome are significantly higher than other syndrom in the first7days(P<0.05). Qi deficiency syndrom gradually increased with the development of the course, and presents important syndrom in the late of postoperative hemorrhagic stroke. Blood stasis syndrom, Yin defieieney syndrom hand with other syndrome,it makes more complex during the course postoperative hemorrhagic stroke.2. Syndrome combination pattern:The combination of two, three syndrom are the most common in all time. One syndrom gradually increased over time. Combination of four is on the rise in the first7day, then fall. Combination of five and six are less than others. Combination of two, three and four are significantly higher than others in the first7day(P<0.05). It means the syndrom combination of postoperative hemorrhagic stroke is complex and changeable in the first7day. The syndrom combination gradually incline to simple along with the progression. Combination of four was significantly reduced, combination of one and two were gradually increased in day14, the same situation reappered in day21and none of combination of five. It showed that most of the patients got better, disease syndrome tend to form simple combination.3. Disease location syndrome distribution:Disease location syndrome:The main factors of hemorrhagic stroke is mind, which is the onset of hemorrhagic stroke, always account for very high rate, trended to decline sowly and nearly maintained the same level after day7. Meridian is the main performance of postoperation hemorrhagic stroke, and maintain high rate all the time. The exact relationship between lung and large intestine showed "exterior of the lung and large intestine", and both have been rising after falling. Liver is one of the main factors, and gradually declined over time, but the reduced rate is not completely consistent compare with wind syndrom. Kidney is the pathogenic basis, and runs throughout the whole process. The incidence of spleen, stomach and heart is low. The heart is the least, probably not be the disease location involved hemorrhagic stroke.4. Disease location syndrome combination pattern:There is no case in the combination of one, eight and nine disease location syndrome. It means neither one nor over eight combination does not exist in postoperative hemorrhagic stroke. The combination of three, four and five disease location syndrome are the most common in all time. The combination is most significant change in day7. Combination of two, three and four are on the fall in the first7day, then rise. Combination of five, six and seven are on the rise in the first7day, then fall. Combination of six and seven are less than others. Combination of three, four and five are significantly higher than others in the first7day(P<0.05). It means the disease location syndrom combination of postoperative hemorrhagic stroke is complex and changeable in the first7day. The disease location syndrom combination gradually incline to simple along with the progression. Combination of five was significantly reduced, combination of two, three and four were gradually increased in day14, the same situation reappered in day21and none of combination of over seven. It showed that most of the patients got better, disease syndrome tend to form simple combination. Conelusion1. There is a certain relation in the distribution situation and evolution pattern of syndrome factor of postoperative hemorrhagic stroke. The incidence of wind syndrome, heat syndrome,phlegm syndrome,mind, meridian and liver is high in the first7days. Both phlegm syndrom and kidney run throughout the whole process. With the development, the factors of different syndrome have their change characteristics. The combination of two, three syndrom are the most common in all time. The combination of three, four and five disease location syndrome are the most common in all time. The syndrom and disease location syndrome combination of postoperative hemorrhagic stroke is complex and changeable in the first7day, but gradually incline to simple after day14.2. The distribution and evolution of syndrome factor of postoperative hemorrhagic stroke is complex and changable. In order to improve the accuracy of the syndrome differentiation,we should considered comprehensively.