Study On The Correlation Between The Syndrome Elements Of Acute Ischemic Stroke And The Four O'clock Climate

ObjectiveTo study the correlation between syndromes in acute stage of ischemic stroke and climate change in four seasons,and to provide effective clinical ideas for the prevention and treatment of ischemic stroke.MethodsA cross-sectional study was designed to screen patients admitted to the department of encephalopathy of Oriental hospital of Beijing university of Chinese medicine and diagnosed as acute stage of ischemic stroke.Correlation test was used to analyze and evaluate the correlation between syndromes in acute stage of ischemic stroke and climate change in four seasons.Results1.Were included in this study conform to the requirements of the 353 patients with acute ischemic stroke,age of 32 to 88 years old,average age(60.43 13.37 mm),167 cases of 65 or less,>65,186 cases,230 cases(65.1%)of men,women,123 cases(34.9%),with 180 patients with smoking history(51.0%),alcoholism patients 115 cases(32.6%),family history of stroke,58 cases(16.4%),hypertension disease 172 cases(60.72%),diabetes,128 cases(36.3%),There were 66 cases of hyperlipidemia(18.7%),49 cases of coronary heart disease(13.9%),and 153 cases of carotid stenosis(43.3%).2.The distribution frequency of syndrome elements in patients with acute stage of ischemic stroke was in order of phlegm-dampness syndrome>internal wind syndrome>blood stasis syndrome b>internal wind syndrome+phlegm-dampness syndrome>fire syndrome=phlegm-dampness+blood stasis syndrome>Yin deficiency and Yang hyperactivity syndrome>internal wind syndrome+phlegm-dampness syndrome+blood stasis syndrome,and syndrome elements were mostly in the form of two or three syndrome combinations.3.Patients with acute stage of ischemic stroke in Beijing have onset in all seasons of the year,the incidence of which is the highest in autumn.Increased risk of phlegm and dampness syndrome in summer;The risk of internal wind syndrome in autumn and combined syndrome of internal wind+phlegm+blood stasis increased;In winter,the risk of fire syndrome,internal wind combined with phlegm increased,while the risk of internal wind syndrome and phlegm decreased.4.There was no abnormal correlation between the incidence of internal wind syndrome of ischemic stroke and the temperature,heat,dryness and dampness in Beijing.The onset of fire syndrome is affected by the abnormal temperature,heat,dryness and humidity,and the abnormal temperature and heat.The pathogenesis of phlegm and dampness is affected by dryness and dampness.The pathogenesis of blood stasis syndrome is affected by cold and heat abnormality.The pathogenesis of qi deficiency syndrome,Yin deficiency and Yang hyperactivity syndrome was affected by the climate cold,heat,dryness and dampness,and the abnormal windcoat.The combined syndrome of internal wind and phlegm-dampness was associated with dryness and dampness abnormality,and the syndrome of phlegm-dampness+blood stasis,and the syndrome of internal wind+phlegm-dampness+blood stasis were significantly correlated with the syndrome of chills and fever,and the syndrome of climate chills and fever.ConclusionAcute phase of ischemic stroke each syndrome elements have different seasonal trend,and susceptibility to different climate change far,comply with the seasonal change,focus on abnormal climate,according to different syndrome factor to carry on the accurate and effective preventive measures to reduce ischemic stroke play get twice the result with half the effort effect,bring new enlightenment for the clinical prevention and treatment of ischemic stroke.