Explore The Diagnosis And Treatment Of Apoplexy Patients At Affiliated Hospital Of Chang Chun UCM Based On Sharing System Of Traditional Chinese Medicine

Purpose: This topic choise apoplexy database as the research object which at encephalopathy of Affiliated Hospital Of Chang Chun UCM,Based on Chinese medicine treatement and Clinic&Scientific Research System,obtained the stroke of the regularity and characteristics of TCM clinical data from the real world,Provide the basis for standard treatment and improve the clinical curative effect.Method: Finishing stroke database data, converted to used for analysis of the scientific research data,using cluster analysis,feature selection,confounding factors test,correlation analysis and other methods,clinical symptoms of TCM-syndrome- the clinical efficacy of treatment(scale assessment) for analysis of the main line,general information of stroke,different treatment curative effect and syndrome evolution law mining is analyzed.Result: 1.The onset of stroke population set mainly between the ages of50-79,which is in the focus of the ages of 60-69 years and in the majority with men;Onset of throttle mainly concentrated in insects,the tomb-sweeping day,the rain, the spring equinox, grain full five of these solar terms.It is in the first place that patients are onset possession ratio to 62.35%,which are in History of hypertension with stroke,23% of patients had a history of smoking and 17% of patients are with a history of alcohol consumption.2. Basing on the NIHSS score on outcome, there is no significant difference between Find five treatment group and the baseline NIHSS score difference five group,which is In 2 weeks and 4weeks(Group 0 is the infusion group,group 1 are traditional Chinese medicine group and infusion group,group 2 are infusion group and Acupuncture group,group3 are infusion group,traditional Chinese medicine group and acupuncture group,group 4 are infusion group,traditional Chinese medicine group,acupuncture group and rehabilitation group).In 2 weeks and 4 weeks with the baseline NIHSS score difference five group was no significant difference(P>0.05). 3. In based on BI score curative effect analysis,there is significant difference between group 1and group 3,when BI score compare between the two groups in week 2 and thereis significant difference between group3 and group 4,when BI score compare between the two groups in week 2 and week 4. 4. In the aspect of improving syndromes,there is no significant difference between the treatment groups,when the endogenous wind and blood stasis syndrome is in three weeks of treatment;in the aspect of internal heat syndrome, there is significant difference between group3 and group 4,when compare between two groups in first week of internal heat syndrome;there is significant difference between group1 and group 4,group 3and group 4,when compare between two groups in second week of internal heat syndrome;in the aspect of wet phlegm syndrome,there is significant difference between group 0 and group 1,group 0 and group 4,when compare between two groups in first week of wet phlegm syndrome in the aspect of blood stasis syndrome,there is significant difference between group 3and group 4,when compare between two groups insecond week of blood stasis syndrome.In the aspect of yin deficiency syndrome, there is significant difference between group1 and group 4,group 2and group 3, group 3 and group 4,when compare between two groups insecond week of yin deficiency syndrome.5. Blood stasis,endogenous wind, phlegm wet these three syndromes of stroke are most often witness,they are higher than other syndromes,which are in the proportion of 69.74% 、 62.73 、40.96%.And with the extension of treatment time,the other syndrome is better,but the endogenous wind and blood stasis has a slight rebound after 14 days.Conclusion:1.In general analysis conclusion:①Stroke disease pathogenesis is most concentrated in 60-69 years old;②High blood pressure is the primary risk factors in stroke; ③Insects, the tomb-sweeping day, the rain,the spring equinox,grain full of stroke onset were concentrated five solar terms.2.The conclusion of stroke patients treatment components analysis:①Using 5 groups of different treatments:There were no significant differences in the improve nerve function defect degree; ②group 1and group 4 are better than group 3 to improve patients’ daily life ability;③Rehabilitation treatment to improve the ability of daily life has curative effect is limited;④group 3 is better than group 4 to improve the fire and blood stasis syndrome;⑤Group 0 is better than group1 and group 4 to improve thewet phlegm syndrome;⑥group 1 and group 3 is better than group 4 to improving the yin deficiency syndrome; group 3 is better than group 2 to improving the yin deficiency syndrome。...