The Study Of Correlation Between TCM Physiques And Stroke Risk Factors In 207 Patients With High Risk Factors For Stroke Based On Check-up Crowd

ObjectiveThe factors which may affect the stroke can be explored basing on the correlation between TCM physiques and stroke risk factors in groups with high risk factors for ischemic stroke. A reference to prevent the occurrence of stroke can be provided according to the characteristics of TCM physiques.MethodsBy the method of observation study,207 patients with high risk factors for stroke who came from physical examination center in the department of Guangdong Provincial TCM Hospital were investigated. The correlation between TCM physiques and stroke risk factors was analyzed by the method of univariate analysis and forward stepwise regression analysis.Results1. Among the 207 cases, hypercholesterolemia accounted for 71.0%; carotid vascular disease accounted for 57.5%; overweight accounted for 43.0%; hypertension accounted for 42.0%; smoking accounted for 28.0%; drinking accounted for 20.3%; diabetes accounted for 13.5%.2. Distribution law of TCM physique:among the 207 cases, there were 50 cases with single physique and 157 cases with combined physique. The TCM physiques in 207 cases were major in constitution of qi asthenia combined its tendency (124 cases,59.9%) and constitution of phlegm-dampness combined its tendency (111 cases,53.6%).3. Correlation analysis:overweight and constitution of phlegm-dampness combined its tendency were correlated(P<0.05), OR was 1.76, which prompted that overweight was positive to constitution of phlegm-dampness combined its tendency. Drinking and constitution of phlegm-dampness combined its tendency were correlated(P<0.05), OR was 2.22, which prompted that drinking was positive to constitution of phlegm-dampness combined its tendency. Female and constitution of blood stasis combined its tendency were correlated(P<0.05), OR was 2.78, which prompted that female was positive to constitution of blood stasis combined its tendency. Male and constitution of damp-heat combined its tendency were correlated(P<0.05), OR was 2.72, which prompted that male was positive to constitution of damp-heat combined its tendency. Female and constitution of yang asthenia combined its tendency were correlated(P<0.05), OR was 2.10, which prompted that female was positive to constitution of yang asthenia combined its tendency. Female and constitution of qi stagnation combined its tendency were correlated(P<0.05), OR was 2.18, which prompted that female was positive to constitution of qi stagnation combined its tendency.Conclusion1. Hypercholesterolemia and hypertension stand out in the risk factors of stroke, which should be strictly controlled.2. The most common physiques of groups with high risk factors for stroke were constitution of qi asthenia combined its tendency and constitution of phlegm-dampness combined its tendency. It revealed the pathogenesis of deficiency and excess in superficiality, which prompted that we should consider the characteristics of TCM physiques when we prevent the occurrence of stroke.3. Overweight was positively correlated with constitution of phlegm-dampness combined its tendency; drinking was positively correlated with constitution of phlegm-dampness combined its tendency; male was positively correlated with constitution of damp-heat combined its tendency; female was positively correlated with constitution of blood stasis combined its tendency, constitution of yang asthenia combined its tendency and constitution of qi stagnation combined its tendency.4. By means of strengthening the screening of patients with high risk factors for stroke and the application of identification of TCM physique, it’s meaningful to use the study of TCM physique to screen the groups with high risk factors for ischemic stroke, which provided a reference to the study of using traditional Chinese medicine to the prevention and treatment of stroke.