Using The Tcm Way Of Syndrome Differentiation To Analyze 62 Cases Of Progressive Cerebral Infarction

objective:By collecting the data of progressive cerebral infarction cases, the variation of different TCM Syndromes of patients in hypertension, diabetes, low density lipoprotein, C-Reactive Protein, distribution regularities of formation of blood homocysteine, carotid atherosclerotic plaque, are observed and analyze.sums up the relationship and lead to progress in cerebral infarction risk factors, thus clarifying for pathogenesis of cerebral infarction progress, so as to provide an objective basis for the prevention and treatment of progressive cerebral infarction.Methods::With A case-control study method, review from January 2011 to August 2014 August,62 patients with progressive cerebral infarction were analyzed dretrospectively and 233 atients with non-progressive cerebral infarction were enrolled as the control group. Because excluse comatose patients, so are in meridian cases, According to Traditional Chinese Medicine, the group of the depression were divided into five type of syndromes:hot on interference card, wind phlegm syndrome, phlegm heat and fu organ empirical, Yinxu Fengdong syndrome, Qi deficiency and blood stasis syndrome. To compare the differences of the two groups in 5 kinds of TCM syndrome type,to comparative analysis of 2 groups of each type of syndrome in hypertension,pathoglycemia, low density lipoprotein, hs-CRP, homocysteine, carotid atherosclerosis differences between the 6 objective indexes on the formation,to analysis the progress of the progressive group. The data processing with SPSS 10.0.Results:1.Syndrome distribution characteristics of major risk syndrome factors of progressive cerebral infarction risk factors generally progress:①Hypertension:cerebral infarction complicated with hypertension rate as high as 87%, there is no obvious difference in progress between group and non progression group.②Pathoglycemia:cerebral infarction accompanied with Pathoglycemia (including diabetes, impaired fasting glucose and impaired glucose tolerance) patients ratio as high as 27%. The wind phlegm syndrome, there is obvious difference between progress group and non progression group (P<0.01).③low density lipoprotein:elevated low density lipoprotein, in the wind fire on interference card, wind phlegm syndrome, there are obvious differences in progress of the group and non progression group (P<0.01).④Blood homocysteine:cerebral infarction accompanied with Hyperhomocysteinaemia, in the wind phlegm syndrome, there are obvious differences in progress of the group and non progression group (P<0.01).⑤Carotid ultrasound examination found that the formation of atherosclerotic plaque:The detection rate of plaque was 64.4%, the wind phlegm syndrome, phlegm heat and fu organ empirical progress, there are differences group and non progression group (P<0.05).⑥hs-CRP:cerebral infarction withhs-CRP in patients with an elevated, Qi deficiency and blood stasis syndrome, there are differences in progress of the group and non progression group (P<0.01).2. Progress of the group and non progression group distribution of TCM syndromes in control group:progress of TCM to wind phlegm, phlegm heat accumulation mainly, and non progression group with Qi deficiency and blood stasis, wind phlegm rare, of which wind phlegm, Qi deficiency and blood stasis syndrome type two distinct differences in the distribution of the two groups on (P<0.01)3.Control group 2, the main risk factors of TCM syndrome type distribution of each: ①The wind fire on interference:numerical low density lipoprotein distinct differences in progress of the group and non progression group (P<0.01).②Wind phlegm syndrome: concurrent with Pathoglycemia, values of low density lipoprotein, carotid atherosclerosis, Hypertension,there are obvious difference (P<0.01),③Carotid atherosclerosis there are differences (P<0.05).④phlegm heat and fu organ empirical:There are differences of carotid atherosclerosis (P<0.05)⑤Yinxu Fengdong syndrome:Advancement of controlled group and non progression group, not all risk factors have obvious difference。⑥Qi deficiency and blood stasis syndrome:there are obvious differences in C reactive protein (P<0.01).4. progressive cerebral infarction of TCM syndrome characteristics:progress after the NIHSS score to wind fire disturbance syndrome and phlegm heat accumulation between wind and fire disturbance between empirical, syndrome and wind phlegm syndrome, hot between syndrome and Qi deficiency and blood stasis syndrome has significant difference (P<0.01).Conclusion:1 Wind phlegm syndrome more is seen in patients with progressive cerebral infarction, if accompanied by Pathoglycemia, Hyperhomocysteinaemia, low density lipoprotein, carotid atherosclerosis is more likely to progress. Phlegm syndrome and progressive cerebral infarction.2. Non progressive cerebral infarction patients with Qi deficiency and blood stasis is more much see.3. If the patients with disease progression, wind & fire on interference card progress than other syndromes of light.