The Relationship between Stroke Risk Factors, Stroke Subtypes and Diagnostic Pattern in Korean Medicine of Acute Stroke - Multi Center Trials

급성기 중풍 환자들의 위험요인 및 중풍유형과 변증분형의 관련성 연구

  • Shin, Ae-Sook (Department of Cardiocascular & Neurologic Disease(Stroke center), College of Oriental medicine, Kyung-Hee University) ;
  • Lee, In-Whan (Department of Cardiocascular & Neurologic Disease(Stroke center), College of Oriental medicine, Kyung-Hee University) ;
  • Gwak, Ja-Young (Department of Cardiocascular & Neurologic Disease(Stroke center), College of Oriental medicine, Kyung-Hee University) ;
  • Cho, Seung-Yeon (Department of Cardiocascular & Neurologic Disease(Stroke center), College of Oriental medicine, Kyung-Hee University) ;
  • Park, Seong-Uk (Department of Cardiocascular & Neurologic Disease(Stroke center), College of Oriental medicine, Kyung-Hee University) ;
  • Park, Jung-Mi (Department of Cardiocascular & Neurologic Disease(Stroke center), College of Oriental medicine, Kyung-Hee University) ;
  • Ko, Chang-Nam (Department of Cardiocascular & Neurologic Disease(Stroke center), College of Oriental medicine, Kyung-Hee University) ;
  • Cho, Ki-Ho (Department of Cardiocascular & Neurologic Disease(Stroke center), College of Oriental medicine, Kyung-Hee University) ;
  • Bae, Hyung-Sup (Department of Cardiocascular & Neurologic Disease(Stroke center), College of Oriental medicine, Kyung-Hee University)
  • 신애숙 (경희대학교 한의과대학 심계내과학교실) ;
  • 이인환 (경희대학교 한의과대학 심계내과학교실) ;
  • 곽자영 (경희대학교 한의과대학 심계내과학교실) ;
  • 조승연 (경희대학교 한의과대학 심계내과학교실) ;
  • 박성욱 (경희대학교 한의과대학 심계내과학교실) ;
  • 박정미 (경희대학교 한의과대학 심계내과학교실) ;
  • 고창남 (경희대학교 한의과대학 심계내과학교실) ;
  • 조기호 (경희대학교 한의과대학 심계내과학교실) ;
  • 배형섭 (경희대학교 한의과대학 심계내과학교실)
  • Published : 2008.12.01

Abstract

Objectives : This study was conducted as part of the national project to standardize stroke diagnosis in Korean medicine. In this study, we assessed what categories of stroke diagnosis these three most common risk factors of cerebro-vascular attack(CVA), hypertension(HTN), diabetes mellitus(DM) and hyperlipidemia(HL) fall into. Also we looked into stroke subtypes and its diagnosis in Korean medicine. Methods : 806 patients with acute stroke from 5 universities(Kyung-Hee University oriental medical center, Kyung-Hee University East-West Neo Medical Center, Kyungwon university Incheon oriental medical center, Kyungwon university Songpa oriental medical center and DongGuk university Ilsan oriental medical center) across the country were involved from April, 2007 til August, 2008. We had data of 482 patients to be analyzed and diagnosed by a Korean medicine training doctor and a professor. Results : All three major stroke risk factors were diagnosed as being dampness-phlegm pattern, but no significant difference was observed except in hyperlipidemia patients. Stroke subtypes such as hemorrhage and infarction showed no significant difference in this study. Conclusions : This study provides evidence that hyperlipidemia can be diagnosed as dampness-phlegm by Korean medicine. Further studies with various subtypes of stroke patients are required to prove solid evidence with other stroke risk factors.

Keywords

Acknowledgement

이 논문은 2008년도 정부(과학기술부)의 재원으로 한국과학재단의 지원을 받아 수행된 연구임(M10527010001-08N2701-00110)