综合疗法治疗脑卒中100例疗效观察及综合生活质量评价.docVIP

综合疗法治疗脑卒中100例疗效观察及综合生活质量评价【摘要】 目的 观察综合疗法治疗脑卒中的疗效以及治疗前后患者的综合生活质量状况。方法 将患者随机分为三组，A组100例给予常规治疗，B组100例给予常规治疗+血栓通治疗，C组100例给予综合疗法治疗。同时将三组患者治疗后第1年作为评价时段，采用综合生活质量评定问卷对各组患者的生活质量进行测评并比较，已进一步验证三组患者采用不同治疗方法的整体疗效以及综合生活质量。结果 C组患者整体疗效和综合生活质量较好，B组患者次之，A组最差。结论 综合疗法治疗脑卒中的疗效肯定，安全可靠，可明显提高患者的综合生活质量。? 【关键词】 脑卒中； 综合疗法； 生活质量评价?? Comprehensive therapy for treatment of cerebral apoplexy 100 cases clinical observation and comprehensive evaluation of quality of life ?YAN Zhong-chao,XU Lei,XU Xiao-hua,et al. Jiaozuo Medical College for staff and workers ,Henan 454000，China?? 【Abstract】 Objective To observe the efficacy of comprehensive therapy in the treatment of stroke as well as before and after treatment in patients with comprehensive quality of life status.Methods Patients were randomly divided into three groups, 100 cases in A group was given routine treatment, 100 cases in B group was given routine treatment + Xueshuantong in the treatment, 100 cases in C group to give comprehensive treatment, while the three group patients after the first year as evaluation period, using a comprehensive questionnaire of quality of life for all groups of patients quality of life evaluation and comparison, has been further validated in three groups of patients with different treatment methods in its overall efficacy and quality of life differences. The measured data were statistically processed.Results In group C patients overall efficacy and overall quality of life better, patients in group B times, group A patients overall efficacy and overall quality of life of the poor. C group compared with B group, there were significant differences (?P?0.05），具有可比性。? 1.2 方法 采取综合疗法及康复训练治疗，并对治疗前后的综合生活质量进行评价。? 1.2.1 A组患者给予常规治疗，包括抗血小板聚集、降低颅内压、抗凝、控制血压、血糖，维持水电解质平衡等综合对症处理。B组在上述常规治疗基础上加注射用血栓通（国药准字，500 mg加入5%葡萄糖注射液250 ml中，静脉滴注，1 h左右滴完，1次/d，以28 d为1个疗程。C组患者给予综合疗法及康复训练（常规治疗+血栓通治疗+中药方剂治疗及康复训练）治疗，在上述治疗基础上加中药方剂口服，若昏迷不醒或者因脑梗死导致吞咽障碍者给予鼻饲或灌肠。中药方剂的组成：生黄芪60 g，川芎9 g，当归9 g，桃仁?10 g?，赤芍6 g，红花3 g，若兼言语不利，加菖蒲9 g、远志6 g。