运用临床状态医学理论诊治缺血性脑卒中的疗效观察  

Clinical Significance of Diagnosis and Treatment of Ischemic Stroke by Clinical State Medical Method

作　　者：关天翔 林松俊[2] 李晋芳[2] 秦秀德[2] 魏佳[2] 虢周科[2] GUAN Tian-xiang;LIN Song-jun;LI Jin-fang;QIN Xiu-de;WEI Jia;GUO Zhou-ke(The Fourth Clinical Medical College of .Guangzhou University of Traditional Chinese Medicine,Shenzhen Guangdong 518000,China;Shenzhen Hospital of Traditional Chinese Medieine,Shenzhen Guangdong 518000,China)

机构地区：[1]广州中医药大学第四临床医学院,广东深圳518000 [2]深圳市中医院,广东深圳518000

出　　处：《中医药导报》2018年第20期90-92,96,共4页Guiding Journal of Traditional Chinese Medicine and Pharmacy

基　　金：广东省中医药建设专项资金立项资助科研课题(201707060738);深圳卫生计生系统科研项目(201604130510)

摘　　要：目的:探讨运用临床状态医学方法诊治缺血性脑卒中的疗效。方法:将80例急性缺血性脑卒中患者随机分为治疗组和对照组,每组40例。对照组给予西医常规治疗,治疗组在临床状态医学理论指导下,在常规治疗基础上予中医辨证治疗和心理干预,评价两组治疗前、治疗后14 d、3个月的NIHSS评分及mRS评分。结果:治疗组14 d及3个月的心血管事件、残疾、不良事件发生情况均低于对照组,差异均有统计学意义(P<0.05)。治疗后14d及3个月,治疗组死亡1例,对照组死亡3例,均死于梗死后出血,两组比较,差异无统计学意义(P>0.05)。治疗后14 d、3个月,两组NIHSS评分均降低,且治疗组低于对照组,差异均有统计学意义(P<0.05)。治疗后3个月,两组mRS评分均降低,且治疗组低于对照组,差异均有统计学意义(P<0.05)。结论:运用临床状态医学方法诊治缺血性脑卒中能促进神经功能恢复,优于西医常规治疗,且能降低不良事件的发生率。Objective:To explore the use of clinical status of medical methods in the diagnosis and treatment of ischemic stroke on the prognosis of patients and the incidence of adverse events.Methods:A total of 80patients with acute ischemic cerebral infarction were randomly divided into intervention group (n=40)and control group (n=40).The control group was treated with routine treatment and treament group was given Clinical State Medical Method,including TCM syndrome differentiation and psychological intervention.The NIHSS score and the mRS score were evaluated in 14days and three months.Results:The treatment group showed less cardiovascular events,disability,and adverse events than the control group in 14days and three months,with statistical difference (P<0.05).There were one deaths in the treatment group and 3deaths in the control group in 14days and three months,all of which of post infarction bleeding.The difference between the two groups was not statistical (P<0.05).The NIHSS scores significantly decreased in the two groups at 14^th day and 34 month after admission,and the treatment group showed lower NIHSS scores than control group (P<0.05).The mRS scores significantly decreased in the two groups at 34month after admission,and the treatment group showed lower mRS scores than control group (P<0.05).Conclusion:The clinical status of medical methods for the diagnosis and treatment of ischemic stroke can improve the prognosis of neurological function,with better effect than conventional Western medicine treatment,significantly reduce the incidence of adverse events.

关 键 词：缺血性脑卒中 临床状态医学 中医辨证 心理干预 神经功能 不良事件 

分 类 号：R255[医药卫生—中医内科学]