Clinical Study On The Differentiation Of Fatigue Syndrome After Stroke

Objective:Stroke is a disease that many people suffers,and its survivors often have serious sequelae,such as physical disabilities,which affect the lives of patients.The recovery of stroke sequelae depends on rehabilitation treatment,but most of the stroke patients are middle-aged and elderly people.The lack of blood and blood is difficult to recover after the disease is over,and the patients often have fatigue symptoms,which exacerbates the difficulties of recovering.The Chinese medicine method also has a unique curative effect on the treatment of post-stroke fatigue,and can cooperate with the Western medical method and rehabilitation therapy to jointly promote the recovery of fatigue after stroke.However,Chinese medicine research has long focused on therapeutic research and light-key research,which leads to the judgment of TCM syndromes relying on physician experience.That's why it is hard to promote TCM in clinical practice.In order to supplement the data of TCM syndrome research,and to guide this test,the correlation between post-stroke fatigue and its medical syndrome type and general data will be studied.Methods:In accordance with the "Guidelines for the diagnosis and treatment of acute ischemic stroke in China(2018 version)","Guidelines for the diagnosis and treatment of Chinese cerebral hemorrhage(2014 version)","Diagnostic and therapeutic evaluation criteria for stroke",diagnose the inpatients and select patients with stroke according to Diagnostic criteria for post-stroke fatigue" for the diagnosis of post-stroke fatigue patients.Based on inclusion and exclusion criteria,the eligible are chosen,who are measured by SS-QOL energy scale,ultimately deciding fatigue severeness.of,Two Chinese physicians who have been uniformly trained collect TCM four diagnostic information,make TCM syndrome type judgment,collect the general information of the patient,record the data obtained from the above investigation and establish the database by SPSS17: 0 software.Results:1.Through the rank sum test,the fatigue degree of qi deficiency,blood stasis and qi deficiency was higher than that of Fenghuo,Fengshuo,and Qi and Yin.The difference was statistically significant(P<0.05),indicating post-stroke fatigue.The degree of fatigue of the TCM syndromes is not exactly the same,and the highest degree of fatigue is qi deficiency and blood stasis and qi deficiency.2.The distribution of TCM syndrome types in 98 patients with post-stroke fatigue was statistically analyzed.The results showed that: 13.3% of patients with fatigue after stroke,13.3% of patients with wind-stagnation syndrome,9.2% of syndromes of wind-stagnation,and 20.4% of syndromes of Qi and Yin.Qi deficiency and blood stasis syndrome and qi deficiency and dampness syndrome accounted for the highest proportion,accounting for 21.4% and 33.7%,respectively,and the proportion of yin deficiency and wind movement was the least,at 2%.3.The correlation between fatigue degree and age after stroke was studied.The X2 test showed that the fatigue degree of fatigue patients after stroke was related to age,and the difference was statistically significant(P<0.05).Conclusion:1.The TCM syndrome type of fatigue after stroke has the highest degree of fatigue with qi deficiency and blood stasis and qi deficiency.2.After the stroke,the syndrome of qi deficiency and blood stasis and the syndrome of qi deficiency and dampness were the highest.3.The degree of fatigue in patients with fatigue after stroke is related to age.