The Study Of Clinical Characteristics Of Vascular Cognitive Impairment In Stroke Recovery

Objective: To explore the clinical characteristic of the recovery of stroke patientswith vascular cognitive impairment, including stroke recovery, common TCM syndrometype VCI incidence, risk factors and neuroimaging features, for the early prediction andprevention and treatment of VCI, improve the quality of the survival of stroke patients toprovide theoretical and clinical basis.Methods: Randomly selected from December2011to September2011in jinan inshandong province hospital of traditional Chinese medicine, Chinese medicine hospitalencephalopathy clinic of stroke patients, according to the standards of this study included360patients with stroke recovery period. To general situation analysis of360patients andcognitive status of related research. Will in1997patients with cognitive impairment TianJinzhou etc of the diagnosis and differentiation of vascular dementia and outcomestandards "of traditional Chinese medicine vascular dementia scale" in TCM syndrometypes. All data are conducted by using SPSS17.0statistical analysis, using analysis ofvariance, chi-square, methods of frequency distribution, inspection level for a=0.05, P <0.05, the difference was statistically significant.Results:1. In360patients with stroke recovery period, the normal cognitive functionin200cases, accounting for55.6%; With cognitive disabilities in160cases, accounting for44.4%, mainly for90cases of mild cognitive impairment (25%), and mild,70cases ofvascular dementia, accounting for19.4%. This study does not appear moderate and severevascular dementia.Three groups of cognitive status of the patient’s gender, age, marriagecondition, cultural degree, daily movement status, history of vascular origin disease were P<0.05, there is statistical significance; Professional is P>0.05, no statistical significance.2. Neuroimaging findings. Cerebral hemorrhage and cerebral infarction can result in VCI, and both of the comparison of cognitive status (P>0.05, no statistical significance;The previous two patients with cerebral infarction associated with brain atrophy lesions isP <0.05, with statistical significance. Separate on the left side of the lesions or the rightside of the lesion is P>0.05, no statistical significance; Bilateral lesions compared withunilateral lesions P <0.05, with statistical significance. Lesion number more than4lesionscompared with below4P <0.05, with statistical significance.3. TCM syndrome research. This study found that six TCM syndrome types, frommore to less complex syndrome of blood stasis resistance93cases (58.13%), phlegmturbidity syndrome in92cases of resistance and the orifices (57.50%), kidney essencedeficiency syndrome in74cases (46.25%), deficiency of qi and blood,31cases (19.38%),relieving ZhiZhuo leave the16cases (10.00%), liver Yang syndrone certificate in2cases(1.25%). Which the top three02mild cognitive impairment group, in turn, is obsessed withthe resistance of phlegm turbidity syndrome, blood stasis resistance collaterals syndrome,kidney essence deficiency;03mild vascular group of top three in turn is the essence ofkidney deficiency syndrome deficiency of kidney essence, blood stasis syndrome, phlegmturbidity resistance/winding. Single card type, two phase and, three certificates and34cases (21.3%), respectively,98cases (61.3%),28cases (17.5%), mainly in kidney essencedeficiency, blood stasis resistance winding, qiao, deficiency of qi and blood, relievingphlegm turbidity resistance ZhiZhuo such as phase and appear.Conclusion:1.The incidence of stroke recovery vascular cognitive impairment ishigher, to a lesser degree, its pathogenesis and patients’ gender, age, culture level, dailyexercise, marriage condition, history of vascular disease. Women, older age, low education,good static lazy move, single (old widowed), vascular compliance medical history thanmen do, young, high-cultural, regular exercise, married (spouses living), vascular cognitiveimpairment is seen the original STD history of stroke recovery, in view of the abovefactors can take early intervention defences.2.Multiple lesions of neural imagingexamination, with brain atrophy is relatively single, single, no brain atrophy is a cognitiveimpairment ratio is high, the degree of heavy, helpful for the forecast of stroke cognitivestatus.3.Stroke recovery is the most common vascular cognitive dysfunction of3types ofTCM syndrome types are kidney essence deficiency, blood stasis resistance winding,obsessed with the phlegm turbidity resistance, and mainly two cards, cards of factors,pathogenesis complex syndrome type. This study provides clinical bases for clinical prevention and treatment of the disease, achieves the purpose of the study, is still needed tocontinue to improve the further research.