Abstract：Objective: To study the distribution of traditional Chinese medicine (TCM) syndrome elements in patients with acute cerebral infarction complicated with hypertension. Methods: The clinical data of 195 patients with acute cerebral infarction were collected, accordance with the Diagnostic Scale of Ischemic Stroke. Then to analyze the TCM syndrome elements distribution of patients with cerebral infarction of two groups (with hypertension group and without hypertension group) by statistical methods. Results: The first three syndromes in 195 patients with acute cerebral infarction were phlegm dampness in 52 cases (26.7%), internal fire in 43 cases (22.05%) and Qi deficiency in 36 cases (18.5%).In terms of the incidence of coronary heart disease, the hypertension group (21.9%) was significantly higher than the non-hypertension group (6.1%), with statistical significance of the difference (P<0.05). In different ages, the occurrence rate of internal fire syndrome in the elderly (27.6%) was higher than that in the middle-aged(11.6%), and the occurrence rate of Qi deficiency syndrome in the middle-aged (23.2%) was higher than that in the elderly(15.4%). The above differences were statistically significant(P<0.05). There was no statistical significance in the distribution of syndrome elements in patients with acute cerebral infarction(P>0.05).The distribution of syndrome elements of hypertensive cerebral infarction patients with different levels of blood pressure was different. Compared with hypertensive cerebral infarction patients with grade III (24.0%),qi-deficiency syndrome was more common in patients with grade I(14.3%) and grade Ⅱ (5.5%), and the difference was statistically significant (P<0.05).The frequency of phlegm-dampness syndrome was higher in the non-hypertensive group (38.8%) than in the hypertensive group (22.6%), and the difference in the distribution between the two groups was statistically significant (P<0.05). Conclusion: Patients with acute cerebral infarction mainly include phlegm dampness, internal fire, and gas deficiency. Hypertension is closely related to coronary heart disease and cerebral infarction, and the distribution of TCM syndromes elements of patients with acute cerebral infarction were different at different ages and hypertension levels. Non-hypertension group had a higher proportion of sputum dampness syndrome than in hypertension group.
刘环环, 李本志, 高爱华, 李天力, 刘小芸, 贺小芳, 魏大为, 常静玲, 常佩芬. 脑梗死急性期合并高血压患者中医病性证素分布规律研究[J]. 河北医学, 2021, 27(10): 1616-1621.
LIU Huanhuan, LI Benzhi, et al. A Study on the Distribution of Traditional Chinese Medicine Syndrome Elements in Patients with Acute Cerebral Infarction Complicated with Hypertension. HeBei Med, 2021, 27(10): 1616-1621.
2021, Vol. 27 
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