补阳还五汤治疗急性脑梗死的疗效观察

目的观察在西医治疗的基础上应用补阳还五汤治疗急性脑梗死的疗效。方法将80例急性脑梗死患者随机分为西药治疗组（对照组）及中西医结合治疗组（观察组）各40例，比较两组的疗效及全血黏度、血浆黏度、纤维蛋白原治疗前后的变化情况。结果观察组有效率为90，00％，明显高于对照组的77．50％（χ^2=8．387，P〈0．05），差异有统计学意义：观察组的全血黏度、血浆黏度、纤维蛋白原治疗后较治疗前明显降低（t=2．124、2．572、2．367、P〈0．05），而对照组上述血液流变学指标治疗前后比较差异无统计学意义（P〉0．05）；且治疗后，观察组的全血黏度、血浆黏度、纤维蛋白原均明显低于对照组（t=2．362，2．785，2．524，P〈0．05）。结论中西医结合治疗急性脑梗死疗效优于单纯应用西药治疗的疗效，且未见明显不良反应，值得临床推广。

The effect of BYHWD treatment on acute cerebral infarction

Objective To observe the application on the basis of western medicine treatment BYHWD treatment on acute cerebral infarction.Methods All of 80 patients with acute cerebral infarction were randomly divided into treatment group(control group) and in the combination therapy group(observation group) groups,each of the 40 cases were compared the efficacy and whole blood viscosity,plasma viscosity and fibrinogen before and after treatment changes.Results The effective rate of observation group was 90.00%,and was significantly higher than the control group 77.50%(χ2=8.387,P < 0.05),there was significant difference.whole blood viscosity,plasma viscosity,fibrinogen after treatment than before treatment of Observation group was significantly lower(t = 2.124,2.572,2.367,P < 0.05).The blood rheology before and after treatment of The control group had no significant change(P > 0.05),and after treatment to observe the group’s whole blood viscosity,plasma viscosity and fibrinogen were significantly lower than the control group(t = 2.362,2.785,2.524,P <0.05).Conclusion The combination therapy of acute cerebral infarction is better than the simple application of the efficacy of western medicine,and no significant adverse reactions,worthy of promotion.