Distribution Of TCM Syndromes In Patients With Insomnia After Ischemic Stroke And Related Analysis

Objective:After the stroke patients have passed the acute phase,in addition to leaving symptoms of neurological deficits,such as hemiplegia,aphasia,etc.,insomnia symptoms often appear.Some researchers found that about 80%-95%of stroke patients Afterwards,there will be changes in the structure of sleep and a decline in sleep quality,which greatly affects the quality of life of patients and the recovery of neurological function.Insomnia is also a risk factor for ischemic stroke.Severe insomnia may even induce the recurrence of stroke.At present,scholars at home and abroad have noticed the effect of insomnia after stroke on mental health and neurological rehabilitation in patients with stroke.However,in the study of traditional Chinese medicine,there is still a lack of analysis of the etiology and pathogenesis of patients with insomnia after stroke and studies on the characteristics of clinical syndromes.Based on syndrome differentiation,it explores the distribution of pathogenic and virulence factors in patients with insomnia after ischemic stroke,and summarizes the characteristics of its pathogenic factors.It has the in-depth understanding of the disease,and grasps the starting point for treatment.Significance.Methods:A cross-sectional study was conducted in this study.SPSS 22.0 statistical software was used to conduct a preliminary investigation of the general conditions of 116 patients with ischemic stroke insomnia with age distribution,gender characteristics,past history,and to perform self-evaluation on depression.SDS,SAS and PSQI scales were used to assess the quality of sleep and the symptoms of anxiety and depression in patients with insomnia after stroke.The statistical analysis was made on the distribution characteristics of the pathogenicity and pathogenicity of the syndromes.Finally,cluster analysis was used to summarize the syndrome differentiation and syndrome features of insomnia patients after stroke.Results:1.The results of 116 patients with insomnia after stroke showed that 43.1%of men were insomnia after stroke and 56.9%were women.The average age was 61.57±9.97 years,and the largest proportion of age group was 61-70 years old.,reaching 36%,followed by 51-60 years old,reaching 33%.87(75%)of the patients had previously had different types of vascular diseases.Among them,the number of people with a history of hypertension was the highest,followed by hyperlipidemia.2.The sleep quality of patients with insomnia after stroke differed significantly between genders and ages,and the PSQI scores of the 61-70 and 71-80 age groups were higher than the 41-50 and 51-60 age groups.In the 41-50 age group and the 71-80 age group,the average female PSQI score was higher than that of men.3.There were 45 patients with insomnia and anxiety after stroke,accounting for 38.79%.There were 34 patients with depression,accounting for 29.31%.And the quality of sleep of the patient is positively related to the degree of anxiety and depression associated with it.4.In 116 patients.with insomnia after stroke,the distribution of the disease location was mainly in liver,heart and kidney.The highest proportion of single-site syndromes was in the liver,and the frequency of liver was the highest.Among patients with two disease-site syndromes,liver + kidney and liver + heart had the highest frequency,followed by heart +kidney.In 116 patients with insomnia after stroke,the deficiency syndrome was the most common with yin deficiency syndrome,accounting for 49.14%;in the actuality syndrome,qi stagnation syndrome,blood stasis syndrome and fiery syndrome accounted for the largest proportion,25.00%respectively.20.69%and 20.69%.The proportion of the merger of the two disease sites is the highest,and the frequency of the yin deficiency syndrome + fiery syndrome is the highest.The patients with insomnia after stroke had different PSQI scores.The average PSQI score was Yangkang>Heat>Yin deficiency>Qi stagnation>Blood stasis,indicating patients with impotence,fiery and yin deficiency syndromes.The worst sleep quality.5.Syndrome analysis,kidney yin deficiency,spleen deficiency,dampness,yin deficiency impotence,dystrophy,qi deficiency,blood stasis,liver yin deficiency,Yin Huo-wang,liver stasis,blood stasis and liver Fuhuahuo is a common type of insomnia after stroke.Based on the analysis and summary of professional knowledge,the characteristics of major syndromes of patients with insomnia after stroke are mainly "deficiency","stasis","qi stagnation","heat" and "sputum".Conclusion:1.The quality of sleep in patients with insomnia after ischemic stroke was related to gender,age,past medical history,anxiety and depression.2.Sleep quality was worse in the senior age group than in the low age group;in the 41-50 age group and the 71-80 age group,women had worse sleep quality than men.Patients with insomnia after stroke have poor sleep quality with anxiety or depression.3.The pathological evidence of insomnia patients after stroke is mainly in the liver,heart and kidney;the deficiency of virulence is mainly due to deficiency of yin deficiency and blood deficiency;the stigma,blood stasis and fiery fever.Patients with impotence,fiery and yin deficiency syndromes had the worst sleep quality.4.The characteristics of major syndromes of patients with insomnia after stroke are mainly"deficiency","stasis","qi stagnation" "heat," and "sputum".