中西医结合治疗脑梗死的疗效比较.docxVIP

中西医结合治疗脑梗死的疗效比较 张运新(广东惠州龙门平陵镇中心卫牛院 516820) 【摘要】目的 观察中西医结合治疗脑梗死的临床疗效。方法 将160例脑梗死 患者随机分西医治疗组(对照组)80例和中西医结合组(治疗组)80例，对照组采 用西医综合治疗，治疗组在对照组治疗的基础上结合中医治疗，观察两组的临床 疗效。结果 治疗组总有效率为92.5%明显高于对照组75.0%(chi;2=3.745, Plt;0.05)o结论 中西医结合综合治疗方案可以促进缺血性脑卒中患者神经功能 的恢复，降低致残率，提高患者日常生活活动能力， 【关键词】脑梗死 中西医结合 疗效 【中图分类号】R741.05 【文献标识码】A 【文章编号】2095-1752 (2013) 19-0047-01 Curative effect compare of combination of traditional Chinese and Western medicine in treatment of cerebral infarction Zhang Yunxing Department of respiratory, Longmen gulingzhen Town Center Hospital; Huizhou Guan gdong,516820,Chi na 【Abstract 】 Objective To observe the clinical effects of combination of traditional Chin ese and Western medici ne(TCM) in treatme nt of cerebral infarcti on .Methods 160 cases with cerebral infarction were randomly divided into the treatment group (80 cases) and the control group (80 cases).The control group was treated with western medicine treatment, the treatment group on base control group plus TCM treatment, clinical curative effects were observed in two group .Results Total effective rate 92.5% in treatment group were significantly higher than the 75.0% in con trol group(chi;2=3.745,Plt;0.05).Conclusio n The combi nation of traditi onal Chinese and Western medicine integrated treatment programs could help ischemic stroke patients in recovery of neurological function, could reduce the disability rate, could improve the ability of daily life of stroke patients. [Key words] Cerebral infarct io n Combi nation of traditi onal Chinese and Western medicine Curative effect 脑梗死是我国中老年人的常见病、多发病，是我国三大死亡原因之一, 具有高发病率、高致残率、高复发率和高死亡率的特点，给社会和家庭带来沉重 的负担。据有关统计表明，脑梗死的患病率为719.0/10万?745.6/10万[1]。随 着我国人口老龄化，高血压、动脉粥样硬化性疾病、糖尿病发病率的上升，饮食 结构及行为方式的改变，可以预计我国脑梗死发病率会呈明显的上升趋势。因此, 有效治疗脑梗死具有极其重要的意义。笔者采用中西医结合治疗脑梗死80例， 取得较好的疗效，现将结果报道如下。 1 一般资料 1.1临床病例 收集2011年1月?2013年3月我院经临床及CT诊断并符合脑梗死的 标准患者160例（男83例,女77例），年龄42?70岁，平均（53.78plusmn;8.40） 岁；纳入标准：符合脑梗死的中、西医诊断标准；病情基本稳定，并发症控制在 理想范围内。排除标准：（1）并发脑出血者；（2）伴严重意识障碍者；（3）严重 心、肝、肾功能衰竭者；（4）合并内分泌系统、