Clinical Observation And Studies By Magnetic Resonance Diffusion Tensor Imaging On Treatment Of Phlegm Stasis Blocking Collateral Type In Acute Cerebral Infarction With Prescription Of Phlegm Stasis Blocking Collateral

Purpose:Through clinical observation and magnetic resonance diffusion tensor imaging(DTI)analysis,evaluating the effects of Prescription of Phlegm Stasis Blocking Collateral in patients with acute cerebral infraction and the syndrome of phlegm and blood stasis in improving of neurological deficits and quality of life and so on,as well as intracellular free movement of water molecules of new infarcted lesions.At the same time,the relationship between intracellular free water molecules diffuse movement and neurological deficits and quality of life was analyzed.Method:Forty patients with acute cerebral infarction and the Syndrome of Phlegm and Blood Stasis were randomly divided into treatment group and control group(20 cases).Both groups were given conventional western medicine treatment,the treatment group plus prescription of phlegm stasis blocking collateral.Observing the fractional anisotropy(FA)and apparent diffusion coefficient(ADC)of the new infarct and contralateral mirror area after 7 days of treatment.Evaluating the NIHSS,Barthel Index,Modified Rankin Scale points and the Quality of Life Index for group comparisons in the 7th,the 14th,the 28th day separately.Results:There was no statistically significant difference between the two groups in general data(P>0.05).After treatment,the NIHSS scores of the two groups were significantly lower than those before treatment,and the quality of life index was significantly higher than that of one week after onset(P<0.05).The NIHSS score of the treatment group was lower than that of the control group,and the quality of life index was higher than that of the control group(P<0.05).Conclusions:Prescription of phlegm stasis blocking collateral could improve clinical efficacy significantly better than that of western medicine,and it can improve clinical neurological deficits and activities of daily living in acute cerebral infarction with symptom of Phlegm and Blood Stasis.Through the DTI examination,it was proved that the Prescription of Phlegm Stasis Blocking Collateral could improve the diffusion of water molecules in the infarct.