调卫及营法治疗短暂性脑缺血发作的临床研究.pdfVIP

提 要 目的：探讨卫气内伐导致短暂性脑缺血发作的机理并观察在卫气内伐理论基础上 提出的调卫和营法在短暂性脑缺血发作中的临床疗效。 方法：将 60 例短暂性脑缺血发作患者随机分为治疗组和对照组，每组 30 例。治 疗组予以基础治疗加调卫和营方治疗，对照组仅予基础治疗，疗程为 4 周。观察治疗 前后患者主要症状计分，治疗前后 TIA 发作次数及脑梗死发生情况，血脂、血流变 等指标变化。 结果：治疗组总有效率 96.7%，对照组总有效率 83.3%，两组相比有显著性差异， P0.05 。治疗组可明显减少TIA 的发生次数，与对照组比较，P0.05 ，有统计学意义。 治疗组无脑梗死情况发生，对照组发生 2 例，其发病率 6.7%，治疗组与对照组相比， P0.05 ，无显著性差异。治疗组在改善 TIA 症状积分方面有明显优于对照组，P0.05 。 在改善血脂（TG、TC、LDL-C ），血流变中血粘度高切、血浆粘度、红细胞压积、 血浆纤维蛋白原，治疗后较治疗前减低，P0.05 ，有统计学意义，且治疗组优于对照 组，P0.05 ，有显著性差异。 结论：建立在卫气内伐化生血浊的理论基础上的调卫和营法能有效改善短暂性脑 缺血发作的临床症状计分及其血脂、血流变的情况，减少其发作次数。 关键词 卫气内伐；调卫和营；短暂性脑缺血发作；临床研究 The Clinical Research of the Therapy of Harmonizing the Nutrient and Defense to The Transient Ischemic Attack Speciality:Neurological medicine of TCM Author: Fu Yufang Tutor:Prof.Liu Wei Abstract Objective: explore the machanism of defensive qi invading vessals inside causes the transient ischemic attack and oberseve the clinical efficacy of the method of harmonizing the nutrient and defensive based on the theory of defensive qi invading vessals inside in the transient ischemic attack. Methods: 60 cases of transient ischemic attack patients were randomly divided into reatment and control groups (n = 30 cases). The treatment group received basic treatment plus the prescription of harmonizing nutrient and defensive. Control group, only to basic treatment, a course of 4 weeks. The main symptoms before and after treatment scored before and after treatment with TIA frequency and cerebral infarction, changes in blood lipids, blood and other indicators. Result: The treatment group was 96.7%, control group was 83.3% compared the two groups have significant difference (P 0.05). The treatment group significantly reduced the occurrence of t