Meng-Qi He1, Lin Liu1, Jie Ma1, Jia Li1, Xiao-Min Zhen1, Yun-Yun Zhang2. 1. Stroke Unit, Department of Neurology, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, 200437, China. 2. Stroke Unit, Department of Neurology, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, 200437, China. zhangyyun@hotmail.com.
Abstract
OBJECTIVE: To investigate the risk factors and clinical features in ischemic stroke patients with different tongue conditions. METHODS: A total of 168 successive acute ischemic stroke inpatients (within 7 days of stroke onset) were recruited. Patients were assigned to groups according to tongue color (pink, pale, red, purple), tongue coating (no coating, thin coating, thick coating) and sublingual vessel (normal, abnormal). Risk factors and clinical features including National Institutes of Health Stroke Scale (NIHSS), modified Rankin Scale (mRS) and Barthel Index (BI), clinical classification, laboratory data and pulmonary infection complications were compared. RESULTS: There were no significant differences in risk factors and clinical features among groups with different tongue colors. The incidence of smoking (4.5%) was lower in the no coating group compared with the thin (30.0%) and thick (39.3%) coating groups (P<0.017). NIHSS (19.05±10.68) in the no coating group was higher than the thin (6.40±6.18) and thick (7.41±7.05) coating groups (P<0.017), BI (20.91±29.99) was lower than the thin (67.61±28.78) and thick (63.02±33.54) coating groups (P<0.017), and the percentage of mRS >3 (90.9%) was higher than the thin (42.2%) and thick (42.9%) coating groups (P<0.017). The percentage of partial anterior circulation infarction patients in the no coating group was higher than the thin coating group (77.3% vs. 42.2%), and the percentage of lacunar infarction patients was lower than the thin coating group (4.5% vs. 37.8%, P<0.017). NIHSS in the abnormal sublingual vessel group was lower than the normal group (5.28±4.38 vs. 10.57±9.58, P=0.000), and BI was higher than the normal group (67.61±29.29 vs. 54.64±36.23, P=0.015). CONCLUSION: Tongue conditions of acute stroke patients were relevant to clinical features.
OBJECTIVE: To investigate the risk factors and clinical features in ischemic strokepatients with different tongue conditions. METHODS: A total of 168 successive acute ischemic stroke inpatients (within 7 days of stroke onset) were recruited. Patients were assigned to groups according to tongue color (pink, pale, red, purple), tongue coating (no coating, thin coating, thick coating) and sublingual vessel (normal, abnormal). Risk factors and clinical features including National Institutes of Health Stroke Scale (NIHSS), modified Rankin Scale (mRS) and Barthel Index (BI), clinical classification, laboratory data and pulmonary infection complications were compared. RESULTS: There were no significant differences in risk factors and clinical features among groups with different tongue colors. The incidence of smoking (4.5%) was lower in the no coating group compared with the thin (30.0%) and thick (39.3%) coating groups (P<0.017). NIHSS (19.05±10.68) in the no coating group was higher than the thin (6.40±6.18) and thick (7.41±7.05) coating groups (P<0.017), BI (20.91±29.99) was lower than the thin (67.61±28.78) and thick (63.02±33.54) coating groups (P<0.017), and the percentage of mRS >3 (90.9%) was higher than the thin (42.2%) and thick (42.9%) coating groups (P<0.017). The percentage of partial anterior circulation infarctionpatients in the no coating group was higher than the thin coating group (77.3% vs. 42.2%), and the percentage of lacunar infarctionpatients was lower than the thin coating group (4.5% vs. 37.8%, P<0.017). NIHSS in the abnormal sublingual vessel group was lower than the normal group (5.28±4.38 vs. 10.57±9.58, P=0.000), and BI was higher than the normal group (67.61±29.29 vs. 54.64±36.23, P=0.015). CONCLUSION: Tongue conditions of acute strokepatients were relevant to clinical features.
Entities:
Keywords:
Chinese medicine diagnosis; clinical feature; ischemic stroke; risk factor; tongue condition
Authors: Yung-Sheng Huang; Mu-Chien Sun; Po-Chi Hsu; Yu-Liang Chen; John Y Chiang; Lun-Chien Lo Journal: Evid Based Complement Alternat Med Date: 2017-03-06 Impact factor: 2.629