理气化瘀通络汤治疗短暂性脑缺血发作临床研究

目的：观察理气化瘀通络汤治疗短暂性脑缺血发作的临床疗效。方法：80例短暂性脑缺血发作患者,按随机数字表法分为2组。对照组30例,给予阿司匹林肠溶片,100 mg.d-1,口服;奥扎格雷每次40 mg,2次.d-1,口服。治疗组50例,在对照组基础上,给予理气化瘀通络汤治疗,每次200 mL,2次.d-1。治疗期间,所有患者均给予低盐、低脂饮食,戒烟忌酒,并针对病因进行降压、降脂、降糖等基础治疗,2组均以14 d为1疗程。结果：对照组痊愈9例,显效11例,有效4例,无效6例,有效率为80.00%。治疗组痊愈26例,显效12例,有效10例,无效2例,有效率为96.00%。两组有效率比较,差异有统计学意义（χ2=5.333,P=0.021）。结论：理气化瘀通络汤治疗短暂性脑缺血发作有满意的临床效果。

Clinical Research of Transient Ischemic Attack Treatment by Liqi Huayu Tongluo Tang

Objective：To observe the clinical effect of li qi hau yu tong luo tang on treating transient ischemic attack treatment.Methods：80 patients with transient ischemic attack were randomly（with random digital table method） divided into two groups.30 cases in control group received aspirin enteric-coated tablets by oral 100 mg/d and ozagrel 40mg one time for two times a day.50 cases in treatment group received li qi hau yu tong luo tang 200 mL·d-1 for two times a day based on the same method of control group.All patients are given low salt,low fat diet while avoiding alcohol and smoking.Both are given pressure release,reducing blood fat and low sugar treatment aiming at causes for 14 days as one course.Results：The effective rate of control group is 80.00%,basic recovery 9 cases,powerfully in 11,effective in 4 and not in 6.The effective rate of treatment group is 96.00%,basic recovery 26cases,12 cases were markedly improved,effective in 10 and not in 2.The efficient comparison of two groups has significant differences（χ2=5.333,P=0.021）.Conclusion：li qi hau yu tong luo tang has satisfactory curative effect in the treatment of transient ischemic attack.