Distribution Characteristics Of TCM Syndromes In The Acute Stage Of Ischemic Apoplexy And Its Relationship With NIHSS And BI Scores

Objective: To investigate the distribution of TCM syndromes of ACI and its relationship with NIHSS and BI score,and to provide theoretical basis for the clinical application of TCM in the prevention and treatment of ACI through statistical analysis of the data of 170 patients with ACI,including gender,age,TCM syndromes,TOAST type,risk factors,NIHSS and BI score.Methods: Jilin province hospital encephalopathy into groups of ACI patients as the research object to carry on the cross-sectional study,collect all the basic information of the group of patients,including: gender,age,smoking history,drinking history,history of hypertension,diabetes,hyperlipidemia,medical history,whether the relapse,the types of cerebral infarction,the set time,such as application SPSS23.0 data entry and statistics,analyze all into the group of patients under different conditions of TCM syndrome type distribution,and compare different TCM syndrome type distribution and the relationship between NIHSS and BI score.Results: In 170 patients with acute ischemic stroke,wind-phlegm and blood stasis syndrome accounted for 74.71%,wind-fire syndrome accounted for 13.53%,qi-deficiency and blood-stasis syndrome accounted for 7.06%,Yin deficiency and wind-motion syndrome accounted for 2.35%,wind-phlegm-fire hyperactivity syndrome accounted for1.76%,phlegm-heat syndrome accounted for 0.59%.The distribution of TCM syndromes of different genders showed no difference by chi-square test P>0.05.There was no difference in the distribution of TCM syndromes between initial and recurrent ACI patients(P>0.05).There was no difference in TCM syndrome type distribution between LAA and SA type ACI patients(P>0.05).In terms of male and female patients,male accounted for69%,female accounted for 31%;In terms of the relationship between gender and risk factors,male was significantly higher than female(P<0.05).In terms of the age of ACI,7patients aged 36-45 years old,34 patients aged 46-55 years old,66 patients aged 56-65 years old,55 patients aged 66-75 years old,and 9 patients aged 75-75 years old of >.Themean and standard deviation of NIHSS scores were the highest in the group with hyperactivity of wind-phlegm and fire,and the mean and standard deviation of BI scores were the highest and lowest in the group with hyperactivity of wind-phlegm and fire.Conclusion: Wind-phlegm-stasis syndrome is the most common TCM syndrome in patients with acute ischemic apoplexy.Subsequently,> syndrome of qi deficiency and blood stasis was followed by > syndrome of Yin deficiency and wind movement,> syndrome of wind-phlegm-fire hyperactivity,and > syndrome of phlegm-heat syndrome.The distribution of TCM syndromes in the acute stage of ischemic apoplexy has nothing to do with the onset type and gender.The proportion of male patients in the acute stage of ischemic stroke was significantly higher than that of female patients,with a male to female ratio of about2.21:1.Men also had higher risk factors;The incidence of ACI increases with age before the age of 56-65,and the number of patients with ACI is the highest at the age of 56-65.The age of female patients with high disease was 66-75 years old,slightly delayed than the whole;The group with hyperactivity of wind-phlegm and fire had the most severe damage to brain function and the group with hyperactivity of wind-phlegm and fire had the strongest daily living ability.