The Correlation Of MRA And Blood Vessel Ultrasonography In Chinese Traditional Medicine Syndrome And Cerebrovascular Disease

Objective: On the basis of cranial magnetic resonance angiography,using the modern epidemiology and medical statistics method to carry out some relevant factors discussions for TCM syndrome distribution and ischemic cerebrovascular disease,so as to formulate a unified,objective and standard evaluation system of ischemic cerebrovascular disease and traditional Chinese medicine,improving the disease clinical level and a new basis for syndrome disease.Materials and Methods: Examination from Southwest Medical University Affilliated Hospital has confirmed ischemic cerebrovascular disease patients for 308 cases;The average age was 65.3±11.7 year,men for158 cases,women for 150 cases;Main collection site including the specific locations,sizes,whether the vascular lesions exist stenosis,occlusion and aneurysm information;Carried out the dialectical unified dialectically in accordance with Chinese medicine,then do the establishment of corresponding database,exploring the correlation of head magnetic resonance angiography with stroke syndromes;Results: Chinese medicine types mainly consists of wind phlegm obstruction collaterals: 125 cases;Qi deficiency blood stasis for 85 cases,Yin pneumatic for 57 cases,liver Yang Bao Kang for 24 cases,phlegm heatrelieving excess for 17cases;Gender and age analysis showed F = 1.315,P =0.859,the difference was not statistically significant;The carotid stenosis analysis: the incidence of anterior cerebral artery stenosis(31 cases,24.8%);The incidence of arterial stenosis in the brain(5 cases,29.4%)was higher in the patients with phlegm;The incidence of posterior arterial stenosis(20 cases,23.5%)was higher in patients with scum;The incidence of postarterial stenosis(23.5%)was higher in patients with iatroemia.The incidence of intracranial arterial stenosis was approached in the patients with the prevalence of the various intracranial arterial stenosis,F= 24.618,P = 0.077,the difference was not statistically significant;The narrow-rate statistical analysis of the anti-phlegm type was obstruction of collateral > Qi deficiency and blood stasis> Phlegm heat relieving excess > wind fire pathogen > Yin pneumatic,X~2=1.215,P=0.876,the difference was not statistically significant;Analysis of degree of cerebrovascular lesion: the degree of vascular lesion in the patients with phlegm stasis was more than 1 and 2 levels(grade 1,20 cases,16.0%;grade 2,38 cases,30.4%);The degree of vascular disease in the patients with qi deficiency and blood stasis was higher in 3 or 4 levels(grade 3,29 cases,34.1 %;grade 4,18 cases,21.2%);Empirical vascular lesions in patients with phlegm heat relieving degree is at 3,4 levels(grade 3 for 2 cases,11.8%),grade 4 for 8 cases,47.1%),F= 29.654,P = 0.020,the difference is statistically significant.Research Conclusions: Degree of brain in patients with vascular lesions with five have a certain correlation between TCM syndrome type;The carotid stenosis and posterior cerebral artery stenosis could be as the wind phlegm obstruction collaterals dialectical objective analysis indicators;The brain artery stenosis could as the objective analysis indicators for qi deficiency blood stasis dialectical;Middle celebral artery stenosis could as the Yin deficiency wind objective analysis indicators.Brain vascular lesions for 2 ~ 3level could be as the wind phlegm obstruction collaterals on dialectical objective analysis indicators;Level 4 angiograms of the brain lesions could be as the phlegm heat relieving excess dialectical objective analysis indicators.Part two: Corresponding research results of carotid ultrasound results within stroke syndromesObjective: On the basis of carotid ultrasound results,using the modern epidemiology and medical statistics method to carry out some relevant factors discussions of carotid ultrasound results and ischemic cerebrovascular disease,so as to formulate a unified,objective and standard evaluation system of ischemic cerebrovascular disease and traditional Chinese medicine,improving the disease clinical level and a new basis for syndrome disease.Materials and Methods: Magnetic resonance angiography examination has confirmed ischemic cerebrovascular disease patients for 308 cases;The average age was 65.3±11.7 year,men for 158 cases,women for 150 cases;Main collection factors including Lining-middle membrane thickness,the degree of carotid stenosis,carotid artery plaque and carotid plaques points type,etc;Carried out the dialectical unified dialectically in accordance with the Chinese medicine,then do the establishment of corresponding database,exploring the correlation of Carotid ultrasound within stroke syndromes;Research Results: Chinese medicine types mainly for wind phlegm obstruction collaterals: 125 cases;Qi deficiency blood stasis for 85 cases,Yin pneumatic for 57 cases,liver Yang Bao Kang for 24 cases,phlegm heat relieving excess for 17 cases;Carotid intima-middle membrane thickness analysis: F = 2.330,P = 0.056,average different TCM syndrome type in patients with carotid intima-there was no statistically significant difference;Carotid stenosis: the stenosis of the carotid artery was more than grade 1(16cases,28.1%);The arterial stenosis of the patients in the wind fire was more than 1 level(9 cases,37.5 %).The carotid stenosis of the patients with phlegm was more than grade 1 and 2(grade 1,29 cases,23.2 %;grade 2,37 cases,29.6%);The stenosis of the carotid artery was more than grade 2 and 3(grade2,2 cases 25.9%;grade 3,18 cases,21.2%);The degree of carotid stenosis in patients with phlegm(6 cases,35.3%)was more than 4 levels,F= 37.864,P =0.009,the difference was statistically significant.The Crouse integral analysis:the anti-phlegm type was obstruction of collateral > Qi deficiency and blood stasis> Phlegm heat relieving excess > wind fire pathogen > Yin pneumatic,F= 72.608,P < 0.001,the difference is statistically significant;The plaquesintegral analysis showed: = 4.007.P = 0.857,the distribution difference of different plaques was not statistically significant.Conclusions: The thickness of endometrial-middle degree of film for stroke patients has certain relevance with syndrome types,the wind phlegm obstruction collaterals and wind formation from Yin deficiency could as the objective reference;arotid stenosis degree level 2 can be as TCM syndrome type wind phlegm obstruction of qi deficiency and blood stasis winding dialectical objective analysis indicators;Carotid stenosis degree level 1 can be as TCM syndrome type wind fire disturbance syndrome objective analysis indicatiors;Carotid stenosis degree has certain relevance with syndrome types,which can be used as dialectical objective reference of the wind phlegm obstruction collaterals qi deficiency,blood stasis and Yin deficiency of pneumatic;observed from carotid plaques classfication and statistical analysis of TCM syndrome types,the stability of carotid plaques can be used as wind of fire the dialectical objective indicators.