The Clinical Research About Constitution Of Elderly Patients With Dementia

Object:Through the clinical observation of200cases of elderly patients with dementia, using modern statistical analysis method, sums up the physical distribution characteristics of elderly patients with dementia, relationship with the card type, such as law, to provide some basis to prevention and individualized treatment of old age dementiaMethod:1. According to the diagnostic criteria of DSM-Ⅳ-R and DSM-Ⅳ, randomly select200cases of elderly patients with dementia, then collect the patient’s general information, such as prevalence data.2. All the cases on the basis of the traditional Chinese medicine constitution classification and decision table are divided into gentle quality, great quality, air quality, quality of damp and hot, wet mass sputum and blood stasis, Yin deficiency, qi deficiency, Yang deficiency9types of constitution, with reference to the Chinese medicine new medicine clinical research guiding principles into kidney marrow syndrome, heart Yin deficiency syndrome, mist reduction obsessed with the two deficiency, phlegm turbidity syndrome,5kinds of qi and blood stasis syndrome.3. Statistical analysis:Input data, tabulation using Excel2003and statistical analysis by SPSS21.0. The distribution of measurement data using the proportion (%), said two compare and discuss the X2test analysis correlation.Results:1. Old age dementia patients with Yin deficiency constitution qualitative (55cases,27.5%), phlegmy wet mass (54cases,27%), deficiency (46cases (23%), different types of people health, a slightly different focus on alzheimer’s disease in the majority with phlegm wet constitution (30cases,32.3%), vascular dementia patient is given priority to with Yin deficiency constitution (28cases,31.5%).2. Each old age dementia syndrome has a large number of cases distribution. The order from more to less is:phlegm turbidity resistance/card (62cases,31%)> kidney empty pulp reduction card (51cases (25.5%)> and qi stagnation and blood stasis syndrome (33cases,16.5%)> heart Yin deficiency syndrome (30cases,25%)> glove two deficiency syndrome (24cases,12%).Each type of dementia in the card type distribution on each have emphasize particularly on, alzheimer’s disease, kidney empty pulp reduction card in the most rare (35cases,37.6%), followed by phlegm turbidity resistance/card (20cases,21.5%), vascular dementia with phlegm turbidity resistance/card (37cases,41.6%) the most, followed by heart Yin deficiency syndrome (19cases, accounting for21.4%), qi and blood stasis (18cases,20.2%).3. A link between constitution and syndrome type, strong correlation (P=0.000<0.05).Mass Yin deficiency in the kidney empty marrow minus the qi deficiency (17cases,33.3%) and mass (14cases,27.5%), heart Yin deficiency syndrome of Yin deficiency (20cases,66.7%), phlegm turbidity syndrome of phlegm wet mass of resistance and the orifices (31cases,50%) in their respective card type and other constitution have obvious difference, P<redefine the inspection level0.0167.Conclusion:1. Physical distribution has certain characteristics of elderly patients with dementia, overall to qi deficiency Yin quality, phlegm wet mass, mass is given priority to, and saw a small amount of blood stasis, Yang deficiency, including AD, focused more on phlegm wet mass VaD is more focus on Yin deficiency group.This is closely related to the physiological and pathological characteristics of old people also.2. In patients with dementia in old age, physical fitness and TCM syndrome types have a strong correlation. Obviously reflected in dementia kidney patients with the reduction of Yin deficiency, qi deficiency constitution, heart Yin deficiency syndrome patients to Yin deficiency constitution, obsessed with the phlegm turbidity resistance syndrome patients is phlegmy wet body more, other did not show obvious correlation between constitution and syndrome type.3. Due to old age dementia patient’s physical distribution has the characteristics and rules to follow, indeed has a strong correlation between syndrome type, so the correct dangerous biased constitution to prevent old age dementia or slow progress, treatment can also refer to the ti adjuvant therapy and disease outcome.