Study On TCM Status Identification And Key Pathogenesis In Patients Suffering From Ischemic Stroke

Objective: Find social services after stroke risk assessment and prevention and control measures of health status of TCM identification method,for ischemic stroke further summarizes the disease organs.Methods: In changchun university of Chinese medicine affiliated hospital stroke slow disease prevention and control management information collaboration platform jan 01,2014-December 31,2015 by inputting information,3322 cases with selected cases,whether to always have a stroke is a standard,cases can be divided into the new group and recurrence group,which the case is new group 1542 examples,relapse group of case is 1780.The four-diagnosis information pool of traditional Chinese medicine was formed from the four-diagnosis information database of 1780 included patients with recurrent ischemic stroke.SPSS25.0software was used to conduct statistics on the frequency of four-diagnosis information of 1780 patients with recurrent ischemic stroke,and intra-group linkage clustering method was used to conduct cluster analysis on the four-diagnosis information of 3322 patients with ischemic stroke.The data model of 1780 recurrent ischemic stroke patients and 1542 first-episode ischemic stroke patients were analyzed by using Lantern5.0 software.Results: The top ten frequency of four diagnosis information in patients with recurrent ischemic stroke were white moss,dizziness,numbness of limbs,skin irsensibility,constipation,string,greasy moss,phlegm in throat,joint pain and obesity.Cluster analysis was applied to the syndrome characteristics of 3322 patients with ischemic stroke in this study.The first type is Qi deficiency and blood stasis syndrome.The second type is the phlegm-heat-fu-organ demonstration.The third type is the syndrome of Yin deficiency combined with the syndrome of Lian-Yang Huo.The fourth type is wind phlegm obstruction syndrome.Implicit structure analysis was used to analyze the TCM status of 1780 patients with recurrent ischemic stroke,which was divided into seven categories.The first category is the wind-fire up-disturbance license;The second type is phlegm-heat-fu-fu demonstration;The third type is Qi deficiency and blood stasis syndrome.The fourth type is wind phlegm obstruction syndrome;The fifth category is the syndrome of Yin deficiency wind movement;The sixth type is phlegm Mengqing syndrome;The seventh category is the failure of vital energy.The proportion of phlegm-heat fu-fu patients from the first stroke to the recurrence of stroke increased from 12.65% to 15.06%.The proportion of Qi deficiency and blood stasis syndrome increased from the first stroke group to the recurrence group,increasing from13.29% to 18.48%.The proportion of wind-phlegm obstruction of collaterals increased from the first stroke to the recurrence of stroke,from 38.46% to 40.51%.According to theoretical research,stroke risk population is divided into the state of middle coke deficiency and the state of lower coke loss.According to the Delphi method,the syndrome of Qi deficiency and blood stasis,the syndrome of wind and phlegm blocking collusion,the syndrome of phlegm mengqing orifices and the syndrome of vitality and qi failure in the patients with ischemic stroke(first and second)developed from the syndrome of mid-coke deficiency and full state in the patients with stroke risk.Wind and fire on the disturbance syndrome,phlegm heat and fu-organs,Yin deficiency wind movement syndrome and other three states developed from the stroke risk population of the loss of storage state of lower focus.Conclusion: The TCM status of 1780 patients with recurrent ischemic stroke and 1542 patients with first-episode ischemic stroke were divided into seven categories by multi-layer hidden structure analysis.Among them,there are three kinds of symptoms,namely,the syndrome of phlegm heat and fu-organs,the syndrome of qi deficiency and blood stasis,and the syndrome of wind and phlegm obstruction of colladals,which are vulnerable to recurrence of ischemic stroke.Moreover,it is developed from the deficiency and full state of middle focal in the population at risk of stroke,which accounts for the majority of recurrent ischemic stroke patients.And it is explored that "wind" is the key factor of stroke and "crabbed heat" is the key factor of stroke pathogenesis.