中药鼻饲灌服联合常规西药治疗重症脑梗死40例观察  被引量:1

Clinical Observation on Nasal-feeding Chinese Medicine and Conventional Western Medicine in the Treatment of 40 Cases of Severe Cerebral Infarction

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作  者:郝静[1] 牛智领[1] 张盼盼[1] 

机构地区:[1]河南省濮阳市人民医院,河南濮阳457000

出  处:《中西医结合心脑血管病杂志》2017年第12期1506-1508,共3页Chinese Journal of Integrative Medicine on Cardio-Cerebrovascular Disease

摘  要:目的探讨中药鼻饲灌服联合常规西药治疗重症脑梗死的疗效。方法选取80例重症脑梗死病人,随机分为研究组和对照组,各40例。对照组采用依达拉奉治疗,研究组在对照组的基础上采用中药鼻饲灌服进行治疗。比较两组治疗有效率、治疗前后的神经功能缺损评分(NIHSS)、格拉斯哥昏迷评分(GCS)、血液流变学指标以及不良反应发生情况。结果研究组治疗总有效率为92.5%,对照组为72.5%,研究组高于对照组(P<0.05);治疗后,研究组的NIHSS评分高于对照组、GCS评分低于对照组(P<0.05);研究组全血高切黏度、全血低切黏度和血浆黏度均低于对照组(P<0.05);两组治疗期间无明显不良反应。结论中药鼻饲灌服联合常规西药治疗重症脑梗死的临床疗效显著,可有效改善血流状态,安全性高。Objective To observe the clinic efficacy of nasal-feeding Chinese medicine and conventional western medicine in the treatment of severe cerebral infarction.Methods Eighty patients with severe cerebral infarction were selected and divided randomly into two groups:control group(n =40)treated with edaravone,and treatment group(n =40)treated with edaravone and nasal-feeding Chinese medicine.The effective rate,National Institutes of Health Stroke Scale(NIHSS)scores,Glasgow Coma Score(GCS)before and after the treatment,blood rheology index and adverse reactions were observed.Results The total clinical effective rate was 92.5%in treatment group,which was significantly higher than that in control group(72.5%,P〈0.05).After the treatment,the NIHSS scores in treatment group were higher than that in control group(P〈0.05).The GCS score,the whole blood high shear viscosity,the whole blood low shear viscosity and plasma viscosity in treatment group were lower than that in control group(P〈0.05).There was no obsvious adverse reactions,in two groups during the treatment period.Conclusion The nasal-feeding Chinese medicine and conventional western medicine can improve the effective rate,and improve the blood flow state in patients with severe cerebral infarction.

关 键 词:重症脑梗死 中药鼻饲灌服 神经功能缺损 格拉斯哥昏迷评分 

分 类 号:R743.33[医药卫生—神经病学与精神病学]

 

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