中西医结合治疗脑梗塞141例

中西医结合治疗141例急性脑梗塞,其显效率与有效率;低中组(低分子右旋糖酐加中药)分别为65%、84%;低菸组(低分子右旋糖酐加菸草酸)分别为29%、41%;中药组分别为40%、81.8%。显示低中组疗效好,低菸组疗效差。对重型病例,低中组疗效亦优于其它两组。脑梗塞发作1周内,脑血管扩张剂会加重脑水肿。脑梗塞早期应用甘露醇,然后用脑血管扩张剂可提高疗效。低分子右旋糖酐对风湿性心脏病脑梗塞易诱发心衰。复发性脑梗塞疗效差。

Cerebral Infarction of 141 Cases with TCM-WM Treatment

Acute cerebral infarction of 141 cases with treatment combining TCM and WM was reported. The significant effective rate and the effective rate were 65% and 84% in the LT group(low molecular dextran+TCM)respectively;in the LN group(low molecular dextran+Nicotinic acid) were 29% and 41% respectively;in the T group(Salvia miltiorrhiza+Astragalus+Puraria)were 40% and 81.8% respectively.Among them the therapeutic effect in the LT group was the best.The LT group was also superior to the other two groups in serious cases. Cerebral edema developed following cerebrovascular dilator in a week after cerebral infarction; in the early stage,the therapeutic effect could be improved by giving mannitol first and then cerebrovascular dilator.Heart failure could be easily induced by low molecular dextran in the cerebral infarction following rheumatic heart disease.The therapeutic effect was poor in those cases with recurrent cerebral infarction.