Comparison of Risk Factors Distribution and Related Biochemical Indicators in 204 Patients with Acute Cerebral Infarction with Syndrome of Static Blood Blocking Collaterals
Objective To explore the correlation between the syndrome of static blood blocking collaterals and its concurrent symptoms in acute cerebral infarction and common risk factors and related biochemical indica-tors.Methods The risk factors of cerebrovascular disease and the distribution of traditional Chinese medicine(TCM)syndrome types in 204 patients with acute cerebral infarction with syndrome of static blood blocking collat-erals were statistically analyzed,and the levels of relevant biochemical indicators in patients with different TCM syndrome types were compared.Results Among 204 patients with acute cerebral infarction with syndrome of stat-ic blood blocking collaterals,the risk factors for cerebrovascular disease ranked from high to low,including lack of exercise(83.82%),hypertension(74.51%),and age≥60 years old(67.16%).The proportion of TCM syndrome types from high to low is as follows:syndrome of static blood blocking collaterals combined with hyperactivity of wind-phlegm-fire(36.76%),syndrome of static blood blocking collaterals combined with phlegm-damp clouding or-ifices(25.49%),syndrome of static blood blocking collaterals combined with blood stasis due to qi deficiency(18.14%),etc.The blood pressure(BP)level of patients with syndrome of static blood blocking collaterals com-bined with blood stasis due to qi deficiency was significantly lower than that of other TCM syndrome types(P<0.05).The hemoglobin(HGB)level of patients with syndrome of static blood blocking collaterals combined with hyperactivity of wind-phlegm-fire was significantly higher than that of other TCM syndrome types(P<0.05).The albumin(ALB),fasting blood glucose(FBG)levels of patients with syndrome of static blood blocking collaterals combined with upward disturbance of wind-fire were significantly higher than those of other TCM syndrome types(P<0.05).The direct bilirubin(DBIL)level of patients with syndrome of static blood blocking collaterals com-bined with phlegm-damp clouding orifices was significantly higher than that of other TCM syndrome types(P<0.05).The total cholesterol(TC)level of patients with syndrome of static blood blocking collaterals combined with excessive fu-viscera caused by phlegm-heat was significantly lower than that of other TCM syndrome types(P<0.05),and the high density lipoprotein(HDL)level was significantly higher than that of other TCM syndrome types(P<0.05).Conclusion ① Acute cerebral infarction with syndrome of static blood blocking collaterals was more common in patients over 60 years old,with lack of exercise,dietary bias,and hypertension as prominent risk factors for this disease.② In terms of TCM syndrome type distribution,the syndrome of static blood blocking col-laterals combined with hyperactivity of wind-phlegm-fire accounts for the largest proportion,suggest that the onset of this disease is closely related to the three pathogenic factors of wind,phlegm,and blood stasis.③ Systolic and di-astolic blood pressure could be used as reference indicators for the differentiation of static blood blocking collater-als combined with blood stasis due to qi deficiency syndrome,HGB could be used as a reference indicator for the differentiation of static blood blocking collaterals combined with hyperactivity of wind-phlegm-fire syndrome,ALB and FBG could be used as reference indicators for the differentiation of static blood blocking collaterals combined with upward disturbance of wind-fire syndrome,DBIL could be used as a reference indicator for the differentiation of static blood blocking collaterals combined with phlegm-damp clouding orifices syndrome,TC and HDL could be used as reference indicators for the differentiation of static blood blocking collaterals combined with excessive fu-viscera caused by phlegm-heat syndrome.
acute cerebral infarctionsyndrome of static blood blocking collateralsrisk factorbiochemical in-dicatortraditional Chinese medicine syndrome type