The Analysis Of TCM Symptoms Of Cerebral Infarction Convalescence With Risk Factors And MCA Velocity Correlation Relations

BackgroundTreatment according to syndrome differentiation is the core of traditional Chinese medicine to solve clinical problems.At present,clinical of stroke,still in the traditional "inspection,auscultation and olfaction,inquiry,and pulse-taking and palpation" four as main means,due to different level of healer,traditional four diagnostic syndrome patient data collected by subjectivity is strong,the correctness of the syndrome differentiation and objectivity would inevitably.With the development of the times,the traditional Chinese medicine should accept the development of the new development,adhere to the combination.of macro and Micro syndrome differentiation,the combination of subjective and objective.At the same time,we should make use of modern medical examination methods to enrich and develop ourselves,so as to make up for the deficiency of subjective macroscopic syndrome differentiation.Therefore,the use of modern science and technology to study the relationship between TCM syndromes of stroke and objective medical indicators,and then summed up the objective criteria of TCM syndrome differentiation has become a meaningful research content.ObjectiveThe object of this study is the middle cerebral artery(MCA)territory infarction patients,through the study of the correlation between the blood flow velocity of middle cerebral artery and the TCM syndrome and risk factors for stroke,so as to explore the impact factors of cerebral infarction in TCM syndrome distribution of the recovery period,and to provide the microscopic quantitative basis for the TCM syndrome types of cerebral infarction recovery period,improve the accuracy of the stroke syndrome differentiation.MethodsWith the method of investigative study,income into standard convalescence of cerebral infarction patients and 150.According to the type of syndrome differentiation of traditional Chinese medicine standard,the object of study on class of Yin and Yang syndrome group;According to the state administration of traditional Chinese medicine department of "the 22 major 95 kinds of TCM clinical pathway "midbrain infarction recovery of TCM syndrome type standard,the object of study on syndrome types of traditional Chinese medicine group.After admission record patients' general information,past medical history,class certificate,TCM syndrome type of traditional Chinese medicine,and TCD examination of the object of study,record peak of MCA blood velocity data.With Yin Yang Syndrome,TCM syndrome types as the dependent variable,with patients gender,age,common risk factors(smoking,drinking,hypertension disease,coronary heart disease,diabetes,hyperlipidemia),MCA peak velocity as independent variables for single factor analysis of statistics,and all the significant independent variables for multivariate analysis of logistic regression,objective factors of influencing the distribution of TCM syndrome.Results1.There were 150 patients with cerebral infarction who met the inclusion criteria,according to TCM Yin Yang syndrome group,87 cases of Yin Syndrome patients(58%),63 cases of Yang syndrome patients(42%);grouped according to meridians and organs,147 cases in meridian patients(97.30%),4 cases in viscera(2.70%);grouped by TCM Syndrome Type:42 cases(29%)of patients with qi deficiency and blood stasis,33 cases(22%)of patients with phlegm and blood stasis syndrome,27 cases(18%)of patients with phlegm heat excess syndrome,25 cases(16.7%)of patients with yin deficiency and wind srirring;23 cases(15.3%)of patients with wind heat disturbance syndrome.According to the peak velocity of MCA,the peak velocity of blood flow in MCA was decreased in 42 cases,and the peak velocity of blood flow in MCA was normal in 89 cases(59.3%),and the peak velocity of blood flow in MCA was faster in 19 cases(n = 12.7%).2.Single factor analysis showed that gender,smoking,drinking,and MCA peak blood flow velocity had a significant influence on the distribution of yin and Yang syndrome.The specific manifestations are as follows:the proportion of male patients is higher than that of Yin Syndrome,and the proportion of female patients is higher than that of Yang syndrome.Yang Syndrome in patients with a history of alcohol ratio is higher than that of Yin Syndrome,smoking history in patients with Yin Syndrome in a higher proportion of Yang syndrome.In the group of MCA peak velocity slowed down,Yin Syndrome was the main type,and in the group of MCA peak blood flow velocity increased,the main category was Yang syndrome.Based on traditional Chinese medicine syndrome as the dependent variable,with statistically significant gender,smoking history,drinking history,MCA peak velocity as the independent variable,logistic two element regression analysis showed that gender,drinking history,MCA peak velocity distribution has an effect on the recovery of cerebral infarction patients with TCM syndrome,the difference was statistically significant.3.Single factor analysis showed that:(1)The common risk factors(smoking,drinking,hypertension,diabetes,coronary heart disease)had no effect on the distribution of TCM syndromes in the recovery stage of cerebral infarction,the difference was not statistically significant.(2)The distribution of TCM syndromes in cerebral infarction recovery period is related to the peak blood flow velocity of MCA.Qi deficiency and blood stasis group,phlegm and blood stasis group,MCA peak blood flow velocity was significantly lower than that of syndrome of phlegm heat disturbing group group,kidney yin deficiency group,wind;wind heat disturbance group than kidney yin deficiency group and phlegm heat group,the difference was statistically significant(p<0.05);Qi deficiency and blood stasis group was lower than that of phlegm and blood stasis group,have statistically significant difference(P<0.05);kidney yin deficiency,phlegm heat group and no significant difference(p>0.05).4.The single factor analysis of MCA blood flow velocity slow,normal,speed up the three groups:(1)the frequency distribution of smokers in the MCA peak blood flow velocity slow,normal,fast in the three groups.(2)the distribution of TCM Syndromes of yin and Yang in the three groups were different.(3)the distribution frequency of TCM syndromes in the three groups was different.Conclusions:The distribution of TCM syndromes in the recovery period of cerebral infarction is related to the risk factors of stroke and the peak blood flow velocity of MCA,Gender drinking and the peak blood flow velocity of MCA had an influence on the distribution of yin and Yang Syndrome of cerebral infarction.Traditional Chinese medicine Yin and Yang Syndrome of cerebral infarction and TCM syndrome type and peak blood flow velocity of MCA have correlation.Smoking may be a factor contributing to the MCA peak blood flow velocity.Smoking history,drinking history,MCA peak blood flow velocity can be used as an objective index of TCM syndrome differentiation in the recovery period of cerebral infarction.