| Purpose:The correlation between the two was analyzed and recorded by recording and counting the intracranial and extracranial vascular changes measured by physique and transcranial Doppler(TCD)ultrasound in patients with acute ischemic stroke(Ischemic stroke IS).With the help of modern medical-assisted objective examination methods and examination methods of traditional Chinese medicine constitution screening,the two are combined to provide references for clinical prevention of stroke diseases.Methods: In this study,a cross-sectional survey was used.Cases were collected from patients with acute ischemic stroke who were admitted to the Department of Encephalopathy,Affiliated Hospital of Changchun University of Chinese Medicine from January 2017 to December 2017.Register and record general patient information,fill in the Chinese version of Wang Qi's TCM quality chart,record intracranial and extracranial blood vessel changes measured by TCD,and perform descriptive and relevant analysis based on the collected data to perform the physical distribution characteristics of the skull.Analysis and discussion on the correlation between internal and external vascular alteration characteristics and constitution and intracranial and extracranial vascular changes.Result:1.According to statistical data: The cumulative frequency of nine kinds of TCM physique in patients with acute ischemic stroke is 495 cases.Among the constitution types with the highest number of cases were phlegm(26.6%),blood stasis(21.62%),qi stagnation(14.4%),and qi deficiency(13.4%).In the two cases,the male body of Chinese patients was mainly phlegm and dampness(28.16%),blood stasis(21.68%),qi stagnation(14.56%),and qi deficiency(11.33%);female patients had dampness(22.70).%),blood stasis(21.62%),qi deficiency(16.76%),and qi stagnation(14.05%).There are abnormalities of intracranial and extracranial vascular changes in patients with acute ischemic stroke.Among them,128 cases of intracranial and extracranial vascular changes were detected by TCD,accounting for72.73%,and those with normal intracranial blood vessels were detected by TCD(ie,48 patients were not detected,accounting for 27.27%.The changes in the middle cerebral artery were 29.70%,the anterior cerebral artery 14.66%,the posterior cerebral artery 19.55%,and the internal carotid artery intracranial 8.27% The basilar artery was 27.82%.There were61.72% of mild stenosis,mainly phlegm and dampness(30.58%),followed by qi deficiency(19.42%)and blood sputum(15.53%);moderate stenosis was 10.94%.,the main constitution was blood stasis(23.26%),followed by phlegm(22.93%)and qi deficiency(16.28%);severe stenosis was 27.34%,with blood stasis.Quality(33.01%)dominated,followed by phlegm(20.39%)and qi stagnation(14.56%).Fisher's exact test was used to analyze the distribution frequency of TCM constitution in patients with acute ischemic stroke with different degree of stenosis of cerebrovascular stenosis indicated by TCD(P=0.005<0.05).There is a certain correlation between the degree of stenosis of internal blood vessels and the constitution of Chinese medicine.2.The Pearson Chi-square test was used to analyze the frequency of TCM constitution distribution in patients with acute ischemic stroke who were diagnosed as having normal cerebral blood vessels and those with abnormal cerebral blood vessels by TCD(P=0.00<0.05).There is a certain correlation between the changes of the cerebral blood vessels and the constitution.3.Fisher's exact probability method was used to analyze the distribution frequency of constitution in the cerebral vascular stenosis group of patients with acute ischemic stroke as shown by TCD.The distribution frequency was significantly different(P=0.002<0.05).TCD showed intracranial blood vessels.There is a certain correlation between the degree of stenosis and physical fitness.Conclusion:1.Among the 176 patients with acute ischemic stroke,the major constitutions of Chinese medicine were mostly dampness,blood stasis,qi stagnation,and qi deficiency.2.There is a certain relationship between the changes of intracranial and extracranial blood vessels in patients with acute ischemic stroke as detected by TCD and the patient's constitution.The main difference between the two is in the normal and normal frequency of normal blood vessels.High,ranking higher.3.The extent of cranial and extracranial vascular changes indicated by TCD in patients with acute ischemic stroke is related to the patient's constitution.Blood stasis is the main constitution of severe and moderate vascular stenosis.Factors;phlegm and dampness is the main constitutional factor for mild vascular stenosis. |
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