本文選題：腦梗死 + 中西醫(yī)結(jié)合療法��； 參考：《新中醫(yī)》2010年09期

【摘要】：目的:觀察中西醫(yī)結(jié)合治療急性腦梗死的臨床療效。方法:選擇發(fā)病72小時內(nèi)患者122例,隨機(jī)分為2組。對照組58例,予西醫(yī)擴(kuò)血管、抗血小板聚集、保護(hù)腦神經(jīng)等常規(guī)治療,連續(xù)治療14天。治療組64例,在對照組治療的基礎(chǔ)上,予以化痰祛瘀消梗湯治療,連續(xù)治療14天。治療前及治療后第7天、第14天分別進(jìn)行神經(jīng)功能缺損程度評分、臨床療效和血液流變學(xué)評價。結(jié)果:總有效率治療組90.6%,對照組84.5%,2組臨床療效比較,差異有顯著性意義(P0.05)。2組治療第7、14天后的神經(jīng)功能缺損程度評分較治療前均有所改善(P0.05);治療14天與7天比較,差異有非常顯著性意義(P0.01)。治療14天后2組比較,差異有顯著性意義(P0.05)。治療組血小板聚集率、纖維蛋白原含量治療后較治療前降低(P0.05)。2組治療后纖維蛋白原含量比較,差異有顯著性意義(P0.05)。結(jié)論:中西醫(yī)結(jié)合治療較單純西醫(yī)綜合治療效果好,能降低致殘率,加快肢體功能的恢復(fù),提高臨床療效,改善預(yù)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.
【作者單位】： 冷水江市中醫(yī)院內(nèi)科;
【分類號】：R743.33

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