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Diabetic stroke and non-diabetic stroke control study of traditional Chinese medicine syndrome

Author: ChenLu
Tutor: ChenZhiGang
School: Beijing University of Traditional Chinese Medicine
Course: Chinese medical science
Keywords: Stroke Acute phase Syndromes
CLC: R259
Type: Master's thesis
Year: 2010
Downloads: 89
Quote: 0
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Abstract

Stroke has a rapid onset, severe illness, and rapid changes, therefore, accurate dynamic evaluation of the disease is particularly important. Western medicine often scale ripe recognized as an objective assessment of the indicators of neurological deficit, high specificity and sensitivity characteristics for syndrome diagnosis, the widespread use of the Chinese medicine profession stroke disease syndrome diagnostic criteria look and smell four diagnostic information by collecting, wind, fire, phlegm, blood stasis, qi deficiency, yin six certificates climate rating, from the overall concept to determine the etiology and pathogenesis of the disease. Stroke is one of the complications of Diabetes Diabetes is the apoplexy important independent risk factors, with the stroke disease, diabetes increased the incidence of the disease, evidence of Diabetes combined stroke patients class distribution and Syndromes of evolution is still the lack of multi-center clinical observation of the samples. Objective: To explore the Diabetes Stroke and Diabetes card class distribution of the acute phase of stroke syndrome elements scale variation and its relationship with Western medicine, physical and chemical examination. Methods: Prospective study the Oriental hospital in October 2009 to February 2010, 88 cases of the acute stage of stroke patients, divided into diabetic group and non-diabetic group accepted diagnostic criteria for diabetes, their day of admission, the incidence of seven days, 14 days, 28 days Syndrome Elements of the four time points, the U.S. National Institutes of Health Stroke Scale (NIHSS), activities of daily living scale (ADL) score, and collect information on its physical and chemical examination, use SPSS13 .0 software for statistical analysis. Results the: ① permit class diagnostic analysis: two sets of card class distribution was no significant difference. The frequency maps wind pyrophlegm Kang certificate, Wind \u0026 Fire on the disturbing certificate distribution for multi-the diabetic group Yin pneumatic certificate distribution higher than the non-diabetic group. ② syndrome elements analysis: Yin pneumatic card in the pathogenesis of 7 days, there are significant differences in the frequency distribution of 14 days, 28 days, syndrome factor scores change only in the 28 days of onset of significant differences. Onset 28 days Phegm frequency distribution significant difference. Wind Syndrome waiting on the frequency distribution and the score changes were significantly different in two groups of four time points card, phlegm syndrome in the diabetic group four de facto evidence of climate change frequency distribution significant difference, blood stasis in the two groups there is a significant difference in the syndrome elements on the score changes of the four time points. ③ Western medicine Scale: non-diabetic group admission NIHSS score of the day with the onset of the first 28 days scores compared to the significant differences in the diabetic group four time points NIHSS score no significant difference. The diabetic group fiery syndromes of factor scores to the onset of the first 7 days, 14 days, and NIHSS score was linear correlation and linear phlegm, Qi deficiency score at the onset of the first 14 days with NIHSS score. Three time points in the non-diabetic group Wind Syndrome and FHP syndrome factor score and NIHSS linear, and the the Qi deficiency score in the day of admission with NIHSS scores were linearly related. (4) Physical examination: the day of admission, FHP and the onset of the first 28 days of the onset of 7 days hyperactivity syndromes factor scores and fasting plasma glucose was linearly related. The diabetic group brainstem responsibility lesions, a high incidence of non-diabetic group, and there is a significant difference. Conclusion: The two groups of 28 days of the onset Yin wind moving permit syndrome elements of the frequency distribution and the scores were significantly different, non-diabetic group admission NIHSS score of the day with the onset of the first 28 days score significant difference compared to the diabetic group brainstem as the responsibility of the lesion, the high incidence of non-diabetic group, and there is a significant difference.

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