Study On The Relationship Between Ischemic Stroke Related To H-type Hypertension And Constitution Of Traditional Chinese Medicine

Objective:through the analysis of the clinical data of patients with H type hypertension associated with ischemic stroke,this subject studied the correlation between the disease and the constitution of traditional Chinese medicine,so as to provide guidance for the clinical prevention and treatment of the disease.Methods:a total of 290 patients with H-type hypertension-related ischemic stroke were included in the clinical data.Results:1.Among the 20 cases(6.90%)with moderate constitution,the top three with single bias constitution were 32 cases(11.03%)with deficiency of qi,31 cases(10.69%)with phlegm and dampness,and 30 cases(10.34%)with blood stasis.There were a total of 107 cases(36.90%),with 49 cases(16.90%)with two kinds of constitution and 33 cases(11.38%)with three kinds of constitution.Among the three kinds of concomitant constitution,phlegm-dampness+qi-asthenia+yin-asthenia(27.27%)was the most common,and the frequency of phlegm-dampness was the highest.2.In this study,23 cases(7.93%)with blood stasis and 22 cases(7.59%)with qi-asphyxia were the major mono-constitutions of patients with Hcy level of 10-15umol/L.The single constitution of patients with Hcy level of 15-30umol/L was dominated by 12 cases(4.14%)of phlegm and wet substance and 10 cases(3.45%)of yang-deficiency substance.In the patients with Hcy level of 30-100umol/L,the occurrence of damp-heat substance was the most,among which,the damp-heat substance was positively correlated with Hcy(P<0.05)3.Qi deficiency quality was positively correlated with age and duration of hypertension,blood stasis was positively correlated with coronary heart disease,phlegm and dampness were negatively correlated with age and BMI,Yang deficiency quality was positively correlated with age,and peace quality was negatively correlated with history of hypertension.The hot and humid mass was positively correlated with TG.There was a positive correlation between phlegm and TC.There was a positive correlation between Yang deficiency and HDL-C and GLU.There was a positive correlation between wet and heat quality and DD.There was a positive correlation between phlegm and CRP and GHb4.In this study,the syndrome type of stroke after the onset of phlegm dampness,blood stasis,peacefulness and qi stagnation was mainly characterized by wind-induced phlegm and stasis.The main syndromes of apoplexy after the onset of Yin deficiency were wind motion syndrome.The apoplexy syndrome type after qi-asthenia was dominated by qi-asthenia blood stasis.The main syndromes of apoplexy were phlegm-heat-fu syndrome.Conclusion:1.The distribution of single biased constitution in patients with type H hypertension-related ischemic stroke was mainly composed of qi deficiency,phlegm and dampness,and blood stasis.The qi deficiency and phlegm dampness were the most in the two combined constitutions.The phlegm-dampness+ qi-asthenia+ Yin-asthenia was the most common constitution among the three kinds.2.Blood stasis,qi-deficiency,phlegm-dampness,yang-deficiency and damp-heat are the susceptible constitutions affecting the level of Hey in patients with h-type hypertension-related ischemic stroke,and the damp-heat is positively correlated with the level of Hey(P<0.05).3.The time of hypertension was earlier in patients with qi-deficient quality,and the moderate quality was not easy to get hypertension.Patients with blood stasis are prone to coronary heart disease.High BMI tends to form phlegm and dampness.The older you are,the easier it is to form qi deficiency and Yang deficiency.Patients with damp-heat,phlegm-dampness and Yang-deficiency are more likely to cause dyslipidemia.The wet and hot substance and phlegm wet substance easily lead to the abnormality of DD,HCY and CRP.Phlegm-dampness and Yang-deficiency easily lead to abnormal blood sugar.4.In this study,the symptoms of stroke in patients with phlegm dampness,blood stasis,peacefulness,and qi stagnation after onset were mainly characterized by wind-induced phlegm and stasis.The main syndromes of apoplexy after the onset of Yin deficiency were wind motion syndrome.The apoplexy syndrome type after qi-asthenia was dominated by qi-asthenia blood stasis.The main syndromes of apoplexy were phlegm-heat-fu syndrome.