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Clinical relevance of Chinese syndrome factors and thromboelastography levels in patients with phlegm-heat and fu-organ excess syndrome

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Journal of Traditional Chinese Medical Sciences 2019年第3期6卷 211-217页

作者： Shuang Wu Pei Chen Yihuai Zou Lan Jiang Hualei Geng Ruyu Yan Shan Wang Lingqun Zhu Key Laboratory of Chinese Internal Medicine of Ministry of Education and Beijing&Key Office of Encephalopathy TCM Research Dongzhimen Hospital Affiliated to Beijing University of Chinese MedicineBeijing 100700China The National Clinical Research Center for Mental Disorders&Beijing Key Laboratory of Mental Disorders Beijing Anding Hospital Affiliated to Capital Medical UniversityBeijing 100088China Department of Neurology and Stroke Center Dongzhimen Hospital Affiliated to Beijing University of Chinese MedicineBeijing 100700China Department of Neurology Pinggu Hospital Affiliated to Beijing Hospital of Traditional Chinese MedicineBeijing 101299China

Objective:syndrome differentiation is a unique part of traditional Chinese medicine(TCM).syndrome factors play an important role in the diagnosis and treatment of TCM ***(TEG)intuitively reflects the blood status of patients with acute ischemic stroke(AIS)and is important in the treatment and prognosis of *** identify the relationship between TCM syndrome factors and TEG in AIS patients and standardize TCM syndrome differentiation and treatment objectives,we designed a prospective cohort study of 103 AIS ***:We used the diagnostic criteria for AIS in the Chinese Guideline for Diagnosis and Management of Acute Ischemic Stroke *** of phlegm-heat and fu-organ excess syndrome was based on the TCM Scale for the syndrome of phlegm-heat and fu-organ *** ischemic Stroke TCM syndrome Factor Diagnostic Scale was used to identify and diagnose syndrome *** information,scores of syndrome factors and values of TEG parameters of all enrolled patients were ***:There were significant differences in internal fire and phlegm-dampness scores between patients with and without phlegm-heat and fu-organ excess syndrome(Pphlegm-heat and fu-organ excess syndrome,internal fire was negatively correlated with TEG parameters R and K(Psyndrome factors and MA(P Z.058)and LY30(P>.05)or between both syndrome factors and TEG parameters in patients without phlegm-heat and fu-organ excess ***:The syndrome factor internal fire is a potential predictor of increased platelet function and fibrinogen activity in AIS patients with phlegm-heat and fu-organ excess,and a potentially important predictor of blood hypercoagulability in TCM.

关键词： Clinical relevance phlegm-heat and fuorgan excess syndrome syndrome factors Thromboelastography

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