中医卒中单元治疗脑卒中研究  

TCM stroke unit treatment of stroke

作　　者：曹续政[1] 姜瀛[1] 乔东海[1] 郭娜[1] 翟大明 谷久梅[1] 孙博[1] 

机构地区：[1]解放军第211医院脑卒中病房,黑龙江哈尔滨150080

出　　处：《中国中医药咨讯》2012年第5期308-309,共2页

摘　　要：目的：观察脑卒中患者应用卒中单元疗法进行治疗的临床效果.方法：对我院自2007 年11 月至2011 年11 月以来,于我科治疗的180 例脑卒中患者临床资料进行回顾性分析,将其分为AB 两组,A 组患者100 例,B 组患者80 例,两组患者均应用丹参注射液进行治疗,每天一次,每疗程10 天.A 组患者在此基础上予以卒中单元疗法,包括推拿针灸疗法,以及Bobath 治疗法,和作业疗法与运动疗法,同时实施健康教育与心理康复以及言语训练等.结果：A 组患者有20 例达到临床痊愈（占20.0%）,有40 例为显效（占40.0%）,有24 例好转（占24.0%）,其总有效率是84.0%;B 组患者有8 例达到临床痊愈（约10.0%）,有16 例为显效（占20.0%）,有20 例为好转（占25.0%）,其总有效率是55.0%,A 组疗效显著优于B 组（P＜0.05）.A 组患者治疗后其血液的流变学与血细胞的比容以及纤维蛋白原同其治疗前相较,均显著下降（P＜0.05）,同B 组患者治疗后相较,其差异呈显著性（P＜0.05）.结论：脑卒中患者应用卒中单元疗法进行治疗,效果显著,应予推广.Objective： Observed in patients with stroke application of TCM stroke unit therapy clinical effect. Methods： Conducted a retrospective analysis of 180 stroke patients in our hospital from November 2007 to November 2011, at department treatment clinical data will be divided into AB two groups, group A patients （n = 100）, Group B patients 80cases, the patients in both groups application of raw clock pin for treatment once a day for 10 days per course of treatment. A group of patients on this basis to be a stroke unit therapies, including massage acupuncture and Bobath therapy and occupational therapy and exercise therapy, while the implementation of health education and psychological rehabilitation, and speech training. Results： There are 20 cases to achieve clinical cure （20.0%） in group A patients, 40 cases for the effective （40.0%）, 24 cases improved （24.0%）, its total efficiency is 84.0%; 8 cases of Group B patientsachieve clinical recovery （10.0%）, 16 cases were cured （20.0%）, 20 cases improved （25.0%）, its total efficiency is 55.0%, group A efficacy was significantly better than group B （P 〈0.05）. Blood rheology and blood cell hematecrit and fibrinogen in patients in group A after treatment than before and their treatment, were significantly decreased （P 〈0.05） compared with group B patients, the difference was significant （P 〈0.05）. Conclusion： Cell therapy for stroke patients application of TCM stroke therapy, the effect is significant and should be promoted.

关 键 词：脑卒中 中医疗法 单元疗法 疗效 

分 类 号：R743.34[医药卫生—神经病学与精神病学]