Correlation Between Radiographic DWI Sequence Imaging Findings And TCM Syndrome Differentiation In Acute Cerebral Infarction

Objective: To analyze the MRI features of 179 patients with acute cerebral infarction(MRI)by magnetic resonance imaging(MRI),and to explore the application value of MRI in TCM syndrome differentiation of acute cerebral infarction.And the relevance of traditional Chinese medicine syndrome differentiation,and then for the acute phase of brain patients with traditional Chinese medicine syndrome differentiation to provide MRI imaging basis.Methods: Patients were selected from Liaoning University of Traditional Chinese Medicine Affiliated Hospital,Department of Neurology,Emergency Department of hospital treatment and clinical diagnosis of acute cerebral infarction in 179 patients,statistical related indicators,the use of statistical methods to deal with the relevant data,and then the acute phase of cerebral infarction MRI manifestations and the relationship between TCM syndrome differentiation analysis.Results:The general data show that in 179 patients,98 males and 81 females,the age of 60-89 years old patients with high incidence,of which the age of 60-75 years of age the highest incidence.There was no statistical significance in the TCM syndrome differentiation of acute cerebral infarction.There was no significant difference in the age of acute cerebral infarction.Among the 179 patients with acute cerebral infarction,17 cases(9.5%)of Fire disturbance syndrome,80 cases(44.7%)of wind phlegm syndrome,11 cases of phlegm heat excess syndrome(6.1%),48 cases(26.8%)of Qi and blood stasis syndrome and 23 cases(12.8%)of Yinxu Fengdong syndrome.Among them,80 cases(44.7%)had the highest number of cases of wind phlegm syndrome,followed by 48 cases(26.8%)of Qi and blood stasis syndrome and 23 cases(12.8%)of Yinxu Fengdong syndrome.In 179 cases of acute cerebral infarction patients,the onset of the site,22 cases of Fire disturbance syndrome(4 cases of cortical lesions accounted for 18.2%,13.6% of radiation crown lesions,11 cases of basal ganglia lesions accounted for 50.0%,4 cases of posterior circulation disease accounted for 18.2%),116 cases of wind phlegm syndrome(13.5% of cortical lesions,15.9% of the radiation crown lesions accounted for 25.9%,48 cases of basal ganglia lesions accounted for 41.4%,20 cases of posterior circulation lesions accounted for 17.2%),16 cases of phlegm heat excess syndrome(cortical lesions in 5 cases accounted for 31.3%,radiation crown disease in 4 cases accounted for 25.0%,4 cases of basal ganglia lesions accounted for 25.0%,posterior circulation of 3 cases accounted for 18%),85 cases of Qi and blood stasis syndrome;(cortical lesions in 13 cases Accounting for 15.3%,21 cases of radiation crown disease accounted for 24.7%,22 cases of basal ganglia lesions accounted for 25.9%,29 cases of posterior circulation lesions accounted for 34.1%),80 cases of Yinxu Fengdong syndrome(4 cases of cortical lesions accounted for 8% 15 cases accounted for 30%,13 cases of basal ganglia lesions accounted for 26.0%,posterior circulation disease in 18 cases accounted for 36.0%).By statistical analysis,the difference was statistically significant,wind and fire disturbance and wind and phlegm obstruction in the basal ganglia at the beginning,Qi deficiency and blood stasis syndrome and Yinxue wind card in the posterior circulation distribution area.In 179 cases of acute cerebral infarction patients,the merger of the disease,Fire disturbance syndrome on 24 cases(with hypertension in 12 cases accounted for 50.0%,with diabetes in 6 cases accounted for 25.0%,with coronary heart disease in 3 cases accounted for 12.5%,With hyperlipidemia in 3 cases accounted for 12.5%),wind phlegm syndrome in 121 cases(45 cases of hypertension accounted for 37.2%,with diabetes accounted for 23.1%,with coronary heart disease in 30 cases accounted for 24.8% Dyslipidemia in 18 cases for14.9%),phlegm heat excess syndrome in 18 cases(with hypertension in 5 cases accounted for 27.8%,with diabetes accounted for 22.2%,with coronary heart disease in 2 cases accounted for 11.1%,with hyperlipidemia 7 Accounting for 38.9%),85 cases of Qi and blood stasis syndrome(14.5% of hypertension accounted for 16.5%,with diabetes accounted for 32.9%,with coronary heart disease in 22 cases accounted for 25.9%,with hyperlipidemia in 21 cases accounted for 24.7%),52 cases of Yinxu Fengdong syndrome(26.9% with Hypertension,32.7% with diabetes,15.8% with coronary heart disease and 11.5% with hyperlipidemia),By statistical analysis,the difference was statistically significant,Fire disturbance syndrome and wind phlegm syndrome with hypertension than other complications,Qi and blood stasis syndrome and Yinxu Fengdong syndrome with diabetes more than other complications,phlegm heat excess syndrome is associated with hyperlipidemia more than other complications.Among the 179 patients with acute cerebral infarction,91 cases were single lesion,accounting for 50.9%,88 cases were multiple lesions for 49.1%,17 cases of Fire disturbance syndrome(Single case of 10 cases accounted for 58.8%,multiple cases accounted for 41.2%),80 cases of wind phlegm syndrome(61.3% of the cases were single,31 cases accounted for 38.7%),11 cases of phlegm heat excess syndrome(6 cases accounted for 54.5%,5 cases accounted for 45.5%),48 Qi and blood stasis syndrome(35 cases of single cases accounted for 35.4%,31 cases accounted for 64.6%,Yinxu Fengdong syndrome in 23 cases(39 cases accounted for 39.1%,14 cases accounted for 60.9%),the statistical treatment,The difference was statistically significant,so the wind on the disturbance and wind phlegm obstruction card to a single lesion-based,qi deficiency and blood stasis and yin deficiency of the wind to the main disease-based lesions.Conclusion: There is a correlation between the infarct site and the TCM syndrome differentiation in the MRI of the acute stage of cerebral infarction.There is a correlation between TCM syndrome differentiation and complication in the acute stage of cerebral infarction.The type of acute cerebral infarction and TCM syndrome Type of correlation.Imaging performance can be diagnosed acute cerebral infarction in the clinical syndrome differentiation of objective indicators and basis.