The Study Of The TCM Pattern Of Syndrome Of Stroke Associated Pneumonia And The Relationship Between It And Its Related Indicators

Objective:To summarize the TCM clinical features of Stroke Associated Pneumonia(SAP), to clear the distribution of the TCM syndrome of SAP, to explore the relationshipbetween the TCM syndromes and preliminary clinical characteristics, modern detectionindicators.Methods:The SAP inpatient of neurology department of Qingdao Hiser Hospital from March2012to March2013were collected for this research.The collect time is in3days afterdefinite diagnosis.187patients were included in our study.Firstly,we collected clinicalinformation and the information obtained by the four diagnositic method of patients andsummarized the patern of syndrome.Secondly,we made blood routine examination,HSCRPand sputum culture for patients,and analysis the relationship between them and TCMpatern of syndrome.We applied chi-square test,Fisher exact propability,Krusal-Wallis testand Wilcoxon test to analysis research data by SPSS17.0.Significant difference is betweenthem (P<0.05) and extremely significant difference is between them(P<0.01).Results:1.The ages of the majority of SAP patients are between43and92.; the bodytemperature of some SAP patients elevated (115persons, accounting for61.5%); most SAPpatients complicated with chronic diseases (148persons, accounting for83.6%); bloodWBC (113persons, accounting for60.4%), NE%(117persons, accounting for62.5%) ofmost SAP patients increased; most SAP patients had positive sputum culture (127persons,accounting for67.9%).2.The TCM syndrome of SAP patients can be divided into eight paterns, namely:wind-heat invading lung syndrome, cold outside and heat inside syndrome, hot phlegm obstructing the lung syndrome, moisture phlegm obstructing the lung syndrome, qideficiency of lung and spleen syndrome, qi and yin deficiency syndrome, heat into thepericardium syndrome, evil traping and positive qi exitting syndrome. There wereextremely significant difference in8TCM syndrome paterns (P=0.000).3.187SAP patients included102males85females, There were no significantdifference between males and females in incidence of SAP (p>0.05). There were nosignificant difference between males and females in8TCM syndrome paterns (p>0.05).4.There are112persons whose age are more than or equal to65and75persons whoseage are less than65in187SAP patients.There were extremely significant differencebetween2age scales in incidence of SAP (P=0.007). There were no significant differencebetween2age scales in8TCM syndrome paterns (p>0.05).5. There are121persons with cerebral hemorrhage and66persons with cerebralinfarction. There are exremely significant difference between them in incidence of SAP (p=0.000). There are significant difference between them in qi deficiency of lung and spleensyndrome (p <0.05), There are no significant difference between them in other syndromes(p>0.05).6. There are significant difference between8TCM syndrome paterns in count ofwhite blood cells(P=0.003). There are significant difference between wind-heat invadinglung syndrome, cold outside and heat inside syndrome, heat into the pericardium syndromeand qi and yin deficiency syndrome in count of white blood cells (P <0.05); There aresignificant difference between cold outside and heat inside syndrome andmoisture phlegmobstructing the lung syndrome, qi deficiency of lung and spleen syndrome in count ofwhite blood cells (P <0.05); There are significant difference between qi deficiency of lungand spleen syndrome,qi and yin deficiency syndrome and heat into the pericardiumsyndrome in count of white blood cells (P <0.05); There are significant difference betweenother syndromes in count of white blood cells.7. There are no significant difference among8TCM syndrome paterns in NE%(P>0.05). There are no significant difference between every two TCM syndrome paterns inNE%(P>0.05).8. There are no significant difference among8TCM syndrome paterns in HSCRP (P>0.05). There are no significant difference between every two TCM syndrome paterns inHSCRP (P>0.05). 9. There are extremely significant difference among8TCM syndrome paterns in theresult of sputum cultured (P=0.002).Conclusion:1.SAP that often occurrsin older population, has no significant differences betweenmale and female, andthe majority of patients had basic diseases.2. The TCM syndrome of SAP patients can be divided into eight paterns, namely inorder to incidence: wind-heat invading lung syndrome, cold outside and heat insidesyndrome, hot phlegm obstructing the lung syndrome, moisture phlegm obstructing thelung syndrome, qi deficiency of lung and spleen syndrome, qi and yin deficiency syndrome,heat into the pericardium syndrome, evil traping and positive qi exitting syndrome. Therewere extremely significant difference in8TCM syndrome paterns (P=0.000).3.There aresignificant differences between the proportion of cerebral hemorrhage and the proportionof cerebral infarction in SAP patients.4. WBC, sputum culture results and the TCM syndromepaterns are relevant. Thedisease is more severe, the indicators are higher. There are no significant differenceamong8TCM syndrome paterns in NE%or HSCRP.