中西医结合治疗缺血性中风126例辨治研究.pdfVIP

维普资讯 浙江中西医结合杂志2008生第 18鲞箜 ! i ： ： 2 137 中西医结合治疗缺血性中风 126例辨治研究 孔建兄 浙江省上虞市中医院 上虞 312300 摘 要 目的：观察中西医结合治疗缺血性中风的临床疗效。方法：将 126例缺血性中风患者随机 分为两组 ，对照组采用溶栓、降纤、抗凝、抗血小板抑制剂、脑保护剂及对症治疗。治疗组在此基础 上加以中医辨证分型予以中药治疗。两组进行神经功能缺损评分及临床疗效比较。结果：经治两 个疗程，两组患者 自身治疗前后对比均较治疗前有改善，对照组P0．05，治疗组P0．O1；组间比 较。治疗组的神经功能缺损评分改善情况优于对照组 (P0．05)。治疗组总有效率97．22％，对照 组88．89％。两组比较，差异有显著性意义，P0．O1。结论：中西医结合治疗缺血性中风疗效优于 单纯西医治疗。 关键词 缺血性中风 西医综合治疗 中医辨证论治 Treating126CasesofIschemicStrokewith Integration ofTraditionalC~neseand W estern MedicineBased on Differentiation KONG Jianxiong．TheTraditionalChineseMedicine HospitalofShangyu，Shangyu (312300)，China Abstract Objective：ToobservetheclinicalcurativeeffectofintegrationofiraditionalChineseandwest． em medicinein treatingischemicstroke．M ethods：126 casesofischemicstrokewererandomlydivided intothetreatmentrgoupand thecontrastgroup．Thecontrastgroupwastreatedbvwesternmedicineto dissolvethrombusand decreasefibrin，anticoagulant，anti-depressorofthrombocyteandbrain protecting rhedicinebasedonsymptom．ThetreatmentgroupwastreatedwithintegrationoftraditionalChineseand western medicinebasedondifferentiationforsyndromeclassificationadditionally．Thevalueofneurologic impairmentandtheclinicalcurativeeffectoftworgoupswerecompared．Results：Symptom inbothgroups wereimprovedaftertwocoursesoftherapy(thecontranstrgoup：P0．05；thetreatmentgroup：P 0．01)．Thevalueimprovementofneurologicimpaimrentinthetreatmentrgoupwasbetterthanthatin thecontrastgroup(P0．05)．Thetotaleffectiverationofthetreatmentgroupandthecontrastgroup were97．22％ and88．89％ respectively、Thedifferencehadsignificantmeaning(P0．01)．Conclu- sion：Theeffectofintergation oftraditionalChineseandwesternmedicineontreatingischemicstrokeis superiortothatofwesternmedicineonly． Keywords ischemicstroke intergatetreatmentbywesternmedicine trea