清热活血法治疗脑梗死急性期的临床观察  

C linical Study of Method of Heat-Clearing and Blood-Activating Treating Acute Cerebral Infarction

作　　者：高江宝 凌孟晖[1] 张用华[1] 

机构地区：[1]广东省广州市番禺区中医院,广东广州511400

出　　处：《中国中医急症》2015年第2期249-251,共3页Journal of Emergency in Traditional Chinese Medicine

基　　金：广东省广州市中医药和中西医结合科研项目(20142A010027)

摘　　要：目的观察清热活血法治疗脑梗死急性期的临床疗效。方法将61例患者按随机数字表法分为治疗组31例和对照组30例,对照组采用西医基础治疗,治疗组在此基础上加用清热活血法治疗。结果结果示治疗组总有效率为83.90%,高于对照组的66.70%(P<0.05)。两组患者治疗14 d后超敏C反应蛋白(hs-CRP)、D-二聚体水平均出现下降(P<0.05),治疗组下降更明显(P<0.05)。治疗组及对照组经治疗14 d后,纤维蛋白原、血浆黏滞度、全血黏滞度均有改善(P<0.05);其中治疗者较对照组改善更明显(P<0.05)。美国国立卫生院神经功能缺损评分(NIHSS)、hs-CRP、D-二聚体水平、全血黏滞度、血浆粘滞度、纤维蛋白原均较前改善,但改善程度治疗组优于对照组,(P<0.05)。结论清热活血法治疗急性脑梗死疗效显著。Objective： To explore the clinical curative effects of of heat-clearing and blood-activating treating acute cerebral infarction. Methods： 61 patients with acute cerebral infarction were divided into treatment group（n=31） and control group（n=30） according to random number table. The control group was given routine western medicine while the treatment group was given heat-clearing and blood-activating recipe in addition to treatment of control group. Results： The total effective rate of treatment group was 66.7%,higher than 83.7% of control group（P 〈0.05）. After 14 days of treatment,hs-CRP and D-dimmer diseased,but the treatment group diseased more obvious than the control group. The whole blood viscosity,plasma viscosity and fibrinogen of both groups improved,but the improvement degree of the treatment was more obvious than that of the control group（P 〈0.05）.NIHSS score,hs-CRP,D-dimmer,the whole blood viscosity,plasma viscosity and fibrinogen of both groups improved better than pre-treatment. The treatment group had more obvious curative effects than the control group,and the difference was of statistical significance（P 〈0.05）. Conclusion： The curative effects of heat-clearing and blood-activating treating acute cerebral infarction are distinct.

关 键 词：清热活血 脑梗死急性期 血液流变学 

分 类 号：R743.9[医药卫生—神经病学与精神病学]