小续命汤治疗风阻络型缺血性中风的临床研究.pdfVIP

目 录 中文摘要·····················································1 英文摘要 ·····················································3 引 言 ······················································5 正 文 ······················································7 1 研究对象与方法 ··········································7 1.1 病例选择 ·················································7 1.2 治疗方法 ················································9 1.3 统计方法 ·············································11 2 结 果 ··················································11 3 讨 论 ··················································13 4 存在的问题 ································29 结 论 ·····················································30 参考文献 ····················································31 主要英文缩略语表 ············································34 综 述 ·····················································35 致 谢 ·····················································53 攻读学位期间发表的学术论文目录 ······························54 作者声明 ····················································55 个人简历 ····················································56 中 文 摘 要 目 的：观察小续命汤治疗风痰阻络型缺血性中风的临床疗效。 方 法：选择2010 年10 月至2011 年12 月在广西中医学院第一附属 医院脑病科门诊或住院的脑梗塞患者 39 例，所选患者均符合 1996 年全 国脑血管病学术会议制定的相关诊断标准, 中医证型诊断均符合风痰阻络 型，按数字随机分为 2 组，对照组给予西医常规治疗，观察组在西医常 规治疗基础上加用中药小续命汤口服，疗程 14 天，分别于治疗前后清晨 空腹检测血脂、血液流变学等指标，并进行神经功能缺损评定和中医证 候积分评定临床疗效，采用脑卒中量表（NIHSS ）测定。 结 果： （1 ）两组神经功能缺损评定：治疗前后评分，观察组分别： 15.6 士4.1、6.1 ±4.08，对照组分别 16.3 士3.5、12.58 ±4.61 , 2 组 比较P 0.05，有显著差异。 （2 ）两组中医症候疗效比较，观察组总有 效率为80%，对照组总有效率为63%，2 组比较P 0.05，有显著差异， 观察组优于对照组。（3 ）治疗前后比较，TC(mmol/l)：观察组分别是6.47 ±0.50、6.23 ±0.41，对照组分别是6.44 ±0.39、6.41 ±0.39 TG(mmol/l) ：观察中分别是2.78 ±0.43 2.53 ±0.59，对照组分别 是：2.80 ±0.37 2.77 ±0.38 。LDL-C(mmol/l) ：观察组分别是 3.24±0.49、3.12±0.46，对 照 组 分 别 是 3.05±0.49 、 3.06±0.59HDL-C(mmol/l)，观察组分别是0.80±0.08、0.83±0.06对照 组分别是 0.8