卒中单元加虫类中药治疗脑梗死临床探究.docVIP

卒中单元加虫类中药治疗脑梗死临床探究 　 作者：徐因 樊建平 孟令坡 张子明 李庆娟 贾小红 赵雪玲 于占富 范晓娟 白龙跃 历金财 高云霄 【摘要】 目的 观察卒中单元加虫类中药治疗急性脑梗死的临床疗效。方法 将200例急性脑梗死住院患者随机分为2组，治疗组100例采取卒中单元模式加中医辨证用药加虫类中药治疗，对照组100例采用卒中单元模式加中医辨证用药治疗。治疗前后分别测定2组患者神经功能缺损程度及病残程度，对所有患者进行评分，疗程为3周，疗程结束后分析患者治疗前后评分情况，进行疗效判定。结果 治疗组基本治愈率、 显效率及总有效率分别为47%、32%、93%，对照组则分别为33%、26%及76%，2组比较差异均有统计学意义（均P＜0.05）。结论 卒中单元模式加中医辨证用药加虫类中药治疗急性脑梗死疗效确切，且安全可靠。 【关键词】 急性病; 脑梗塞；中西医结合疗法; 综合疗法；虫类药； 辨证论治 　　【Abstract】 Objective To observe the therapeutic effect of Zuzhongdanyuanjiachong Traditional Chinese Medicine (TCM) on cerebral infarction. Methods 200 patients with acute cerebral infarction were randomly divided into two groups. 100 patients in treatment group were treated by Zuzhongdanyuan mode plus determination of treatment according to different conditions as well as worm TCM,however the other 100 patients in control group were treated by Zuzhongdanyuan mode plus determination of treatment according to different conditions,with a treatment course of 3 weeks for both groups. The therapeutic effects were observed and compared in the two groups after treatment. Results The basic cure rate, effective rate and total effective rate in treatment group were 7%,32%,93%，respectively, while those in control group were 33%,26%, 76% respectively，there were significant differences between two groups(Pgt;0.05). Conclusion Zuzhongdanyuan mode plus determination of treatment according to different conditions as well as worm TCM is effective in treating cerebral infarction, with safety and good result. 　　【Key words】 Acute disease; Cerebral infarction; Combined treatment of traditional Chinese and western medicine; Comprehensive therapy; Worm Medicine; Determination of treatment according to different conditions. 脑梗死是当前危害人类健康的主要疾病，其发病率呈上升趋势，占全部脑血管病的55%～80%［1］。为此，各国医学界都在寻找有效而可行的治疗方法。卒中单元是管理脑卒中患者的医疗模式，到目前为止，卒中单元是卒中治疗的最佳方法［2］。2006—2007年，我们应用卒中单元模式加中医辨证用药加虫类中药治疗急性脑梗死100例，并与卒中单元模式加中医辨证用药治疗100例进行对照观察，现报告如下。 　　1 资料与方法 　　1.1 诊断标准 　　符合1995年“全国第四届脑血管病学术会议”制定的“各类脑血管病诊断要点”［3］确诊为急性脑梗死