中西医结合治疗急性脑梗死64例临床观察

发布时间：2018-05-14 00:27

本文选题：脑梗死 + 中西医结合疗法　；参考：《新中医》2010年09期

【摘要】：目的:观察中西医结合治疗急性脑梗死的临床疗效。方法:选择发病72小时内患者122例,随机分为2组。对照组58例,予西医扩血管、抗血小板聚集、保护脑神经等常规治疗,连续治疗14天。治疗组64例,在对照组治疗的基础上,予以化痰祛瘀消梗汤治疗,连续治疗14天。治疗前及治疗后第7天、第14天分别进行神经功能缺损程度评分、临床疗效和血液流变学评价。结果:总有效率治疗组90.6%,对照组84.5%,2组临床疗效比较,差异有显著性意义(P0.05)。2组治疗第7、14天后的神经功能缺损程度评分较治疗前均有所改善(P0.05);治疗14天与7天比较,差异有非常显著性意义(P0.01)。治疗14天后2组比较,差异有显著性意义(P0.05)。治疗组血小板聚集率、纤维蛋白原含量治疗后较治疗前降低(P0.05)。2组治疗后纤维蛋白原含量比较,差异有显著性意义(P0.05)。结论:中西医结合治疗较单纯西医综合治疗效果好,能降低致残率,加快肢体功能的恢复,提高临床疗效,改善预后。
[Abstract]:Objective: to observe the clinical effect of integrated traditional Chinese and western medicine on acute cerebral infarction. Methods: 122 patients within 72 hours were randomly divided into two groups. The control group (58 cases) was treated with western medicine vasodilator, antiplatelet aggregation, cerebral nerve protection and other routine treatment for 14 days. 64 cases in treatment group were treated with Huatan Quyu Xiaoji decoction for 14 days on the basis of control group. The neurological impairment scale, clinical efficacy and hemorheology were evaluated before treatment, 7 days after treatment and 14 days after treatment. Results: the total effective rate of the treatment group was 90.6 and that of the control group was 84.55.There was a significant difference between the two groups. There was a significant difference in the scores of neurological function defect between the two groups after the 7th day of treatment, and the scores of the neurological function defect were improved after 14 days of treatment, 14 days of treatment and 7 days of treatment, and 14 days of treatment and 7 days of treatment, respectively. The difference was very significant (P 0.01). After 14 days of treatment, there was a significant difference between the two groups (P 0.05). The platelet aggregation rate and fibrinogen content in the treatment group were significantly lower than those in the pre-treatment group. There was a significant difference in fibrinogen content between the two groups. Conclusion: the combined treatment of traditional Chinese and western medicine is better than that of western medicine alone, it can reduce the rate of disability, accelerate the recovery of limb function, improve the clinical curative effect and improve the prognosis.
【作者单位】：冷水江市中医院内科;
【分类号】：R743.33

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