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尿激酶颈动脉溶栓配合中药治疗急性脑梗死48例临床观察
引用本文:吴根喜,郑道海,张保荣. 尿激酶颈动脉溶栓配合中药治疗急性脑梗死48例临床观察[J]. 中国中西医结合急救杂志, 2004, 11(4): 248-250
作者姓名:吴根喜  郑道海  张保荣
作者单位:河南省确山县人民医院,河南,确山,463200
摘    要:目的:观察尿激酶颈动脉溶栓配合中药治疗急性脑梗死临床疗效.方法:96例患者随机分为治疗组(48例)和对照组(48例),两组患者常规治疗相同,治疗组以尿激酶30~60 U溶于质量分数为0.9%的生理盐水30~60 ml中,经颈总动脉穿刺注射(30 min内推注完),并配合中药补阳还五汤加减治疗,每日1剂;对照组以低分子右旋糖酐500 ml加血栓通10 ml静脉滴注,每日1次.两组疗程均为14 d.结果:基本痊愈率治疗组为31.3%,对照组为20.8%;总有效率治疗组为85.4%,对照组为72.9%,治疗组疗效明显优于对照组(P<0.05).治疗组治疗后血液流变学指标和神经功能缺损评分较治疗前及对照组治疗后均有显著改善(P<0.05或P<0.01).结论:尿激酶颈动脉溶栓配合中药治疗急性脑梗死疗效可靠.

关 键 词:脑梗死,急性  尿激酶  中药  中西医结合治疗
文章编号:1008-9691(2004)04-0248-03
修稿时间:2004-03-14

Clinial observation of urokinase thrombolysis through carotid combined with traditional Chinese herbs in treatment of 48 cases with acute cerebral infarction
WU Genxi,ZHENG Daohai,ZHANG Baorong. Queshan People's Hospital,Queshan ,Henan,China. Clinial observation of urokinase thrombolysis through carotid combined with traditional Chinese herbs in treatment of 48 cases with acute cerebral infarction[J]. Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care, 2004, 11(4): 248-250
Authors:WU Genxi  ZHENG Daohai  ZHANG Baorong. Queshan People's Hospital  Queshan   Henan  China
Affiliation:WU Genxi,ZHENG Daohai,ZHANG Baorong. Queshan People's Hospital,Queshan 463200,Henan,China
Abstract:
Keywords:acute cerebral infarction  urokinase  traditional Chinese herbs  integrated traditional Chinese and western medicine  
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