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The Journal of Internal Korean Medicine > Volume 29(4); 2008 > Article
The Journal of Internal Korean Medicine 2008;29(4): 970-978.
CAVI를 이용한 급성기 중풍환자의 Arteriosclerosis와 한방변증의 관련성 연구
최원우1, 김미영1, 김영지1, 이승엽1, 임정태1, 김창현1, 민인규1, 박성욱2, 정우상1, 문상관1, 박정미2, 고창남2, 조기호1, 김영석1, 배형섭2
1경희대학교 한의과대학 심계내과
2경희대학교 동서신의학병원 중풍⋅뇌질환센터
The Relationship between Oriental Medical Diagnosis and Arteriosclerosis by Carotid-Ankle Vascular Index(CAVI) in Acute Cerebral Infarction Patients
Won-woo Choi1, Mi-young Kim1, Young-jee Kim1, Seung-yeop Lee1, Jung-tae Leem1, Chang-hyun Kim1, In-kyu Min1, Sung-wook Park2, Woo-sang Jung1, Sang-kwan Moon1, Jung-mi Park2, Chang-nam Ko2, Ki-ho Cho1, Young-suk Kim1, Hyung-sup Bae2
1Department of Cardiovascular & Neurologic Disease(Stroke center), College of Oriental Medicine, Kyung-Hee University, Seoul, Korea
2Stroke & Neurological disorders center, East-West Neo Medical Center, College of Oriental Medicine, Kyung-Hee University, Seoul, Korea
Correspondence  Hyung-sup Bae ,Tel: 02-958-9128, Fax: 02-958-9132, Email: hsbae11@yahoo.com
  Published online: December 30, 2008.
ABSTRACT
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.
Key words: Arteriosclerosis, Dampness-phlegm, Multiple infarction, Carotid-Ankle Vascular Index(CAVI)
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