中风病急性期综合治疗方案研究与评价——附522例临床研究报告  

Clinical trial and evaluation on comprebensive treatment on attack in acute stage: report of 522 cases

作　　者：张伯礼[1] 王玉来[2] 高颖[2] 曹晓岚[3] 高利[4] 崔旦旦[5] 毛秉豫[6] 李涛[7] 富春儒[8] 吴迪[9] 胡学军[10] 林培政[11] 韩景献[1] 

机构地区：[1]天津中医学院,300193 [2]北京中医药大学,100700 [3]山东中医药大学附属医院,济南250011 [4]首都医科大学宣武医院,北京100053 [5]江苏省常州市第一人民医院,213003 [6]河南省南阳市中心医院,473009 [7]中国中医研究院西苑医院,北京100091 [8]辽宁省血栓病中西医结合医疗中心,沈阳110101 [9]天津市环湖医院,300060 [10]湖南省中医药研究院附属医院,长沙410006 [11]广州中医药大学第一附属医院,510405

出　　处：《中国危重病急救医学》2005年第5期259-263,共5页Chinese Critical Care Medicine

基　　金：国家"十五"科技攻关课题(2001BA701A12a)

摘　　要：目的研究中风病急性期综合治疗方案的临床疗效。方法在前期研究基础上,开展了通治、辨治、针灸方案与西医治疗方案的多中心、随机对照研究,建立以辨证论治为特点的综合治疗方案,并进行验证和评价,共观察522例中风病急性期患者。结果缺血性中风综合治疗方案临床疗效优于西医组;通治方案、辨治方案和针灸方案在不同时间点对患者的神经功能、日常生活能力和认知功能都有不同程度的改善作用。结论以辨证论治为核心的综合治疗方案有其自身的优势与特点,对中风病具有积极的综合治疗作用,贴近临床实际,便于推广应用,各种评价量表在中风病不同时点具有不同的评价作用。Objective To investigate the clinical effect of the comprehensive treatment to acutive stage of attack. Methods On the basis of the previous observation, the study of the randomizational control with general treatment, treatment on acupuncture and western medical treatment were carried out. A comprehensive treatment on overall traditional Chinese medical differentiation according to the superiority of every treatment was assessed and evaluated in 522 patients with attack. Results The comprehensive treatment of cerebral infarction was superior to the western medicine treatment. General treatment, treatment on traditional Chinese medical differentiation, acupuncture group revealed different improvement on neural function, daily viability, cognitive function in various extent. Conclusion The comprehensive treatment that based on overall traditional Chinese medical differentiation has advantage and characteristic. It has positive combined action to the attack and relevant to clinical setting, easier to popularization and application. Various appraising amount form has different evaluating effects in different stage.

关 键 词：中风病急性期 研究报告 方案研究 综合治疗方案 随机对照研究 日常生活能力 临床疗效 辨证论治 急性期患者 缺血性中风 神经功能 不同时间 改善作用 不同程度 认知功能 治疗作用 推广应用 评价作用 评价量表 针灸方 多中心 

分 类 号：R743.33[医药卫生—神经病学与精神病学]