中西医结合治疗缺血性脑卒中40例临床观察

目的：观察血府逐瘀汤治疗缺血性脑卒中的临床疗效。方法：将80例缺血性脑卒中患者随机分为两组。治疗组40例用血府逐瘀汤加常规治疗；对照组40例仅予常规治疗。4周为1疗程。结果：治疗组痊愈9例，显效13例，有效10例，无效8例，总有效率为80．0％（95％CI=67．6％-92．4％）；对照组痊愈4例，显效9例，有效10例，无效17例，总有效率为57．5％（95％CI=42．2％-72．7％）。两组综合疗效比较（u=2．3176，P=0．0206），差异有显著性意义。结论：血府逐瘀汤中西医结合治疗缺血性脑卒中综合疗效优于西医常规治疗方法，其收益为OR=0．34（95％CI=0．12～0．92），NNT=4（95％CI=2．3～45．7）。

Clinical Research of Blood - house Stasis - dispelling Decoction Combined with Western Medicine on Cerebral Arterial Thrombosis, A Report of 40 Cases

Objective ： To observe the clinical therapeutic effect of Blood - house Stasis - dispelling Decoction on cerebral arterial thrombosis. Method： 80 cases suffered from cerebral arterial thrombosis were randomly divided into two groups. 40 cases in treatment group were treated by Blood -house Stasis -dispelling Decoction and conventional therapy, and 40 cases in control group were treated by only conventional therapy. The treatment course includes 4 weeks. Result： In treatment group 9 cases were recovered, 13 cases were excellent, 10 cases were effective, and 8 cases were ineffective. The total effective rate was 80. 0% （95%CI =67.6% -92.4% ）. In control group 4 cases were recovered, 9 cases were excellent, 10 cases were effective, and 17 cases were ineffective. The total effective rate was 57.5% （95% CI =42. 2% -72.7% ）. There was significant difference between curative effects of the two groups （ u = 2.317 6, P = 0. 0206 ）. Conclusion ： The effect of Blood - house Stasis - dispelling Decoction combined with conventional therapy in treatment group is better than in control group OR = 0. 34 （95%CI =0.12 -0. 92） ,NNT =4 （95%CI=2.3-45.7）.