中西药注射剂联合治疗脑梗死临床疗效分析.pdfVIP

维普资讯 海南医学院学报 2008，14(4) JournalofHainanMedicalCollege 383 中西药注射剂联合治疗脑梗死临床疗效分析 张秋风，任 骞，宋朝晖，王石贵 (陕西省铜川矿务局中心医院神经内科 ，陕西 铜川 727000) [摘要]目的：分析中西药注射剂联合治疗脑梗死的疗效。方法：将 72例脑梗死患者随机分为中西药注 射剂联合治疗组及对照组，每组各36例。两组患者均采用休息、吸氧、病因治疗、降颅压、抗脑水肿、静 脉滴注低分子右旋糖酐500mL，培他啶20mg，1天 1次，连用10d。联合治疗组加用盐酸川芎嗪注射液 静脉点滴，1天 1次，连用10d。用统一判定标准进行疗效评价。结果：中西药注射剂联合治疗组基本治 愈30例、显著进步6例，对照组基本治愈22例、显著进步 14例；其基本治愈率、显著进步率均有显著性 差异(P0．05)。结论：中西药注射剂联合治疗脑梗死疗效高、安全性好，值得临床上进一步应用。 [关键词]脑梗死；药物疗法，联合；中草药 [中图分类号]R743．33 [文献标识码]A [文章编号]1007-1237(2008)04-0383-02 EvaluationoftreatingcerebralinfarctionwithtraditionalChineseandwesternmedicine ZHANG Qiu-feng，REN Qian，SONG Chao—hui，WANG Shi—gui (DepartmentofNeurology，CentralHospitalofTongchuanMiningBureau，ShanxiProvince，Tongchuan 727000，China) [ABSTRACT]Objective：ToinvestigatetheeffectoftreatingcerebralinfarctionwithtraditionalChineseand westernmedicine．Methods：Seventy—twopatientswithcerebralinfarctionweredividedrandomlyintotrialgroup (n=36)andcontrolgroup(n=36)．Patientsinconrtolgroupwererteatedwithwesternmedicine；patientsintri- algroupweretreatedwiht traditionalChineseandwestern medicine．Allpatientswererteatedbyrest，oxygeninha— lation，intracranialpressuredecreasing，brainedemarelieving，low moleculardextran40500mLintravenousinfu— siononcedaily ，betahistine20mgoncedaily，htecoursewas10days；besides，patientsintrialrgoupwerertea— tedwihtligusrtazinehydrochlorideinjectionintravenousinfusiononthebasisabove，oncedailyfor10days．The hterapeuticeffectswereevaluatedbyacertaincriterion．Results：Inrtialgroup，30patientswerecuredingeneral， 6markedlyimproved；incontrolgroup，22patientswerecuredingeneral，12markedlyimproved．Comparedthese inhtetworgoups，htereweresignificantdifference(P0．05)．Conclusion：Treatingcerebralinfarctionwithrta— ditionalChineseandwestern medicinehasgoodeffectandsafety，deserves