补阳还五汤联合奥扎格雷钠注射液治疗脑梗死60例临床观察.docVIP

补阳还五汤联合奥扎格雷钠注射液治疗脑梗死60例临床观察 　　[摘要] 目的 观察补阳还五汤联合奥扎格雷纳注射液治疗脑梗死的临床疗效。方法 方便选取60例脑梗死患者（2012年6月―2013年7月）随机分为治疗组和对照组。对照组29例采用常规西医治疗，治疗组31例在对照组基础上配合补阳还五汤治疗。两组疗程均14 d。治疗结束后分别观察各组的临床疗效，并评定治疗前后神经功能缺损评分的变化。结果 治疗组的临床疗效（χ2=3.214，P=0.037）及神经功能的缺损评分（t=2.69，P=0.041）减少均优于对照组。 结论 采用中医药辨证论治联合西药，可以提高临床疗效，改善生活质量，值得临床推广应用。 　　[关键词] 补阳还五汤；脑梗死；疗效观察 　　[中图分类号] R749.13 [文献标识码] A [文章编号] 1674-0742（2016）04（c）-0164-02 　　[Abstract] Objective To observe the clinical curative effect of buyang huanwu decoction combined with sodium ozagrel injection in treatment of cerebral infarction. Methods 60 cases of patients with cerebral infarction treated from June 2012 to July 2013 were randomly divided into two groups， the control group （29 cases） were treated with conventional western medicine， the treatment group （31 cases） were treated with buyang huanwu decoction on the basis of the control group， the courses of treatment of both groups were 14 days， the clinical curative effects of each group were observed at the end of treatment， and the changes of neural functional impairment scores before and after treatment were evaluated. Results The decrease of the clinical curative effect and neural functional impairment score was respectively （χ2=3.214， P=0.037） and （t=2.69， P=0.041） in the treatment group， which were better than that in the control group. Conclusion TCM syndrome differentiation and treatment combined with western medicine can improve the clinical curative effect and improve the quality of life， which is worth clinical promotion and application. 　　[Key words] Buyang huanwu decoction； Cerebral infarction； Observation on curative effect 　　脑梗死又称缺血性脑卒中，占全部卒中的70%～80%[1]。因该病所致的肢体瘫痪、语言不利等严重影响患者生活质量。（也给家庭带来较重的经济负担。随着医学技术的不断发展，该病的早期诊断率及生存率均明显提高，但单纯西医治疗，患者生活质量的改善并不尽如人意。该研究于2012年6月―2013年7月收治脑梗死患者60例，采用中西医结合的方法治疗，患者临床疗效及语言、肢体等功能恢复均较单纯西医治疗疗效满意，现报道如下。 　　1 资料与方法 　　1.1 一般资料 　　60例患者均为方便选取2012年6月―2013年7月该科室住院的患者，按随机原则分为治疗组和对照组。治疗组31例，男性18例，女性13例；平均年龄57.7（57.7±3.5）岁；起病至入院治疗时间为7～15 d；脑梗死地部位分别如下：基底节区20例，其他部位