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KMID : 0363320080290040970
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Journal of Korean Oriental Internal Medicine
2008 Volume.29 No. 4 p.970 ~ p.978
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The Relationship between Oriental Medical Diagnosis and Arteriosclerosis by Carotid-Ankle Vascular Index(CAVI) in Acute Cerebral Infarction Patients
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Choi Won-Woo
Kim Mi-Young
Kim Young-Ji
Lee Seung-Yeop
Leem Jung-Tae
Kim Chang-Hyun
Min In-Kyu
Park Sung-Wook
Jung Woo-Sang
Moon Sang-Kwan
Park Jung-Mi
Ko Chang-Nam
Cho Ki-Ho
Kim Young-Suk
Bae Hyung-Sup
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Abstract
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Objectives: This study aimed to clarify the relationship between the Oriental medical diagnosis and arteriosclerosis by measuring carotid-ankle vascular index(CAVI) in acute cerebral infarction patients.
Method: One hundred thirty-one subjects were recruited from the patients admitted to the Internal Medical Department at Kyunghee University Oriental Medical Center from April 2007 to August 2008. We sorted cerebral infarction patients and assessed one hundred fourteen patients’ CAVI data. We diagnosed dampness-phlegm by Oriental medical diagnosis and evaluated stroke type by single or multiple infarctions. then, we analyzed their characteristics with type of stroke, risk factor, lifestyle, metabolic syndrome and dampness-phlegm diagnosis.
Result: 1. On the demographic variables of the patients, age, hypertension, hyperlipidemia, multiple infarction group and metabolic syndrome and dampness-phlegm group were significantly higher in the high CAVI score group than in the control. 2. According to the significant difference in the dampness-phlegm group, we analyzed dampness-phlegm related index for pattern identifications by CAVI score. As a result, dark circles, insomnia, headache, white coating tongue. slippery pulse, and rough pulse were significantly higher in the high CAVI score group then in the control. 3. In multivariate analysis, age, hypertension, multiple infarction and dampness-phlegm groups showed a close relationship with the high CAVI score group.
Conclusions: According to the analysis, significance between dampness-phlegm diagnosed patients group and high CAVI score were clarified. Moreover, multiple location infarctions also have a relationship with high CAVI score in cerebral infarction patients. These results can be utilized in the future as a basis material.
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KEYWORD
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Arteriosclerosis, Dampness-phlegm, Multiple infarction, Carotid-Ankle Vascular Index(CAVI)
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