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综合治疗急性大面积脑梗死疗效观察
引用本文:白慧梅,张玉莲,何剑炜,张连城,杨颖.综合治疗急性大面积脑梗死疗效观察[J].中国针灸,2008,28(2):98-100.
作者姓名:白慧梅  张玉莲  何剑炜  张连城  杨颖
作者单位:天津中医药大学第二附属医院针灸部,天津,300150
摘    要:目的:寻找提高治疗急性大面积脑梗死临床疗效的方法。方法:将96例患者随机分为综合组和西药组。西药组48例,采用常规西医脱水降颅压、脑保护、抗血小板聚集、改善循环及对症支持等治疗;综合组48例,采用常规西医治疗配合针灸及中药灌肠。28天后统计疗效。结果:综合组总有效率为68.8%,西药组总有效率为39.6%,经统计学处理,组间差异有非常显著性意义(P〈0.01)。美国国立卫生研究院卒中量表(NIHSS)评分综合组明显优于西药组(P〈0.001)。昏迷量表(GCS)评分综合组明显优于西药组(P〈0.01)。结论:中西医结合治疗大面积脑梗死明显优于单纯西医治疗,能明显改善患者的神经功能缺损程度,降低死亡率。

关 键 词:急性病/治疗  脑梗塞/治疗  针药并用  通络  灌肠  @急性大面积脑梗塞  综合治疗  急性大面积脑梗死  疗效观察  cerebral  infarction  large  area  acute  comprehensive  therapy  therapeutic  effect  死亡率  神经功能缺损程度  西医治疗  中西医结合治疗  昏迷  评分  NIHSS  量表  国立卫生研究院  美国  意义  组间差异
文章编号:0255-2930(2008)02-0098-03
收稿时间:2007-07-16
修稿时间:2007年7月16日

Observation on therapeutic effect of comprehensive therapy for acute large area cerebral infarction
BAI Hui-mei,ZHANG Yu-lian,HE Jian-wei,ZHANG Lian-cheng,YANG Ying.Observation on therapeutic effect of comprehensive therapy for acute large area cerebral infarction[J].Chinese Acupuncture & Moxibustion,2008,28(2):98-100.
Authors:BAI Hui-mei  ZHANG Yu-lian  HE Jian-wei  ZHANG Lian-cheng  YANG Ying
Institution:Department of Acupuncture, The Second Affiliated Hospital of Tianjin University of TCM, Tianjin 300150, China. baihuimei2007@163.com
Abstract:OBJECTIVE: To search for a method for increasing clinical therapeutic effect of acute large area cerebral infarction. METHODS: Ninety-six cases were randomly divided into a comprehensive treatment group and a western medicine group, 48 cases in each group. The western medicine group were treated with routine western methods, dehydration for decreasing intracranial pressure, brain-protection, anti-platelet agglutination, improving circulation and expectant treatment, etc.; the comprehensive treatment group were treated with the routine treatment of western medicine combined with acupuncture, moxibustion and enema of Chinese drugs. The therapeutic effect was observed after treatment for 28 days. RESULTS: The total effective rate was 68.8% in the comprehensive treatment group and 39.6% in the western medicine group with a very significant difference between the two groups (P < 0.01), and the score of the National Institute of Health's Stroke Scale (NIHSS) and the score of the Glasgow Coma Scale (GCS) in the comprehensive treatment group were better than those in the western medicine group (P < 0.001, P < 0.01). CONCLUSION: Combined treatment of Chinese medicine and western medicine for large area cerebral infarction is better than simple western medicine, and it can significantly improve neurological defect of the patient and decrease death rate.
Keywords:Acute Disease/ther  Brain Infarction/ther  Acupuncture Medication Combined  Dredging Collaterals  Enema  @Acute Large Area Cerebral Infarction
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