中医豁痰祛瘀法结合西医常规治疗急性脑梗死50例的临床观察  

Clinical observation on the eliminating phlegm and removing blood stasis method combined with routine western medicine treatment in 50 patinets with acute cerebral infarction

作　　者：李定锋 

机构地区：[1]东兴市妇幼保健院内儿科,广西538100

出　　处：《中国临床新医学》2011年第8期766-769,共4页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

摘　　要：目的观察豁痰祛瘀法结合西医常规治疗急性脑梗死的疗效。方法将确诊的100例急性脑梗死患者随机分为两组,对照组50例予西医常规治疗,治疗组50例在西医常规治疗基础上予豁痰祛瘀法治疗。疗程均为2周。观察两组临床疗效及血液流变学的变化。结果治疗组治愈8例,显效27例,有效15例,无效2例,总有效率为96%;对照组治愈4例,显效18例,有效21例,无效5例,总有效率为90%。治疗组疗效优于对照组(P<0.01);治疗组治疗后全血黏度(高切、低切)、血浆黏度和纤维蛋白原与治疗前比较差异均有统计学意义(P<0.05);与对照组比较差异有统计学意义(P<0.05)。结论豁痰祛瘀法治疗急性脑梗死疗效满意,可起到降低血液黏稠度,改善血液流变性,改善脑部供血,有利于神经功能恢复的作用。Objective To observe the therapeatic effect of the eliminating phlegm and removing blood stasis method combined with routine western medicine treatment in the treatment of acute cerebral infarction. Methods One hundred patients with acute cerebral infarction were randomly divided into two groups. The control group （50 patients ） received routine western medicine treatment; the treatment group （50 patients） were treated with the eliminating phlegm and removing blood stasis method on the basis of routine western medicine treatment. The clinical therapeutic effect and hemorheology changes in two groups were observed. Results In the treatment group, 8 patients were cured; marked effect were found in 27 patients; effectiveness in 15 patients; no effect in 2 patients; the total effeetive rate was 96%. In the control group, 4 patients were cured; marked effect in 18 patients; effectiveness in 21 patients ; no effect in 5 patients ; the total effect rate was 90%. There was a significant statistical difference in the therapentic effect between two groups （ P 〈 0. 05 ）. In the treatment group, there were significant statistical difference in whole blood viscosity （high shear, low shear）, plasma viscosity and plasma fibrinogen before and after treatment （P 〈0. 05）. After treatment, there were significant statistical difference in above indexes between the two groups （P 〈 0. 05 ）. Conclusion The eliminating phlegm and removing blood stasis method in the treatment of patients with acute cerebral infarction has a good therapeutic effect. It can decrease blood viscosity, improve blood rhcologic property, improve cerebral blood supply and contribute to recovery of neural function.

关 键 词：急性脑梗死 豁痰祛瘀法 中医药疗法 

分 类 号：R743.3[医药卫生—神经病学与精神病学]