急性脑梗死的中医辨证分型与经颅多普勒检测结果相关性的研究中西医结合;临床学专业论文.docxVIP

PAGE PAGE 10 Discussion on the correlation between the acute cerebral infarction and transcranial doppler ABSTRACT Objective: To discuss the correlation between the acute cerebral infarcti- on and transcranial doppler,with the aim to make the results of TCD can do favor in the macroscopic differentiating syndrome decide treatment of acute cerebral infarction. Methods: 138 cases with ACI were selected and classified according to according to syndrome differentiation classified in TCM, and 25 cases of healthy people were selected as the normal control group(NCG). The 3 different types of TCM of ACI were compared with each other by TCD, and then were compared with the normal control group,observing the change of index to study the relationship. Results: 1. There were 138 acute ischemic apoplexy patients accorded with the criterion, 57(41.3%),36(26.0%) and 45(32.6%)in faltered group, slowered group and normal group respectively. 2. The syndrome of ganyangbaokang and fengtanshangrao appeared More in fastered group and the syndrome of fengtanzuluo and qixuxueyuappeared more in slowered group. 3.The rate of cerebrovascular stenosis of the diffirent groups of acute ischemic apoplexy patients was significantly higher than NCG; that the syndrome of ganyangbaokang and yinxufengdong were significantly higher than the syndrome of qixuxueyu. 4. The pulsatility index and resistance index of the diffirent groups of acute ischemic apoplexy patients was significantly higher than NCG except the ; syndrome of qixuxueyu that the syndrome of ganyangbaokang, tanrefushi, fengtanzuluo,yinxufengdong was significan- tly higher than the syndrome of qixuxueyu. 5. One-way factor analysis shows that the elements related to the change of blood flow velocity of the acute cerebral infarction were blood pressure and syndrome differentiation classified in TCM. Conclution: The TCM syndromes of acute cerebral infarction were correlated with TCD. KEY WORDS: Acute cerebral infarction; Syndrome di