血栓通注射液联合银杏达莫注射液治疗中风后痉挛性偏瘫临床研究  

Clinical Observation of Xueshuantong Injection Combined with Ginkgo Dipyridolum Injection for Spastic Hemiplegia after Stroke

作　　者：李哲 LI Zhe

机构地区：[1]台州市立医院神经内科,浙江台州318000

出　　处：《新中医》2018年第8期46-49,共4页New Chinese Medicine

摘　　要：目的:观察在常规治疗基础上予血栓通注射液联合银杏达莫注射液治疗中风后痉挛性偏瘫的临床疗效。方法:将108例中风后痉挛性偏瘫患者按照入院顺序分为对照组和观察组各54例,对照组给予常规治疗联合血栓通注射液干预,观察组在常规治疗基础上以血栓通注射液联合银杏达莫注射液干预,2组均以21天为1疗程,治疗3疗程。评价2组的临床疗效,治疗前后应用简易智力状态检查量表(MMSE)评定认知功能,以改良波士顿汉语失语症测试评定语言交流水平,以Barthel指数评定日常生活活动的功能状态,以美国国立卫生研究院卒中量表(NIHSS)和神经功能缺损程度评分评定神经功能受损程度。结果:疗程结束后,观察组疗效优于对照组,差异有统计学意义(P<0.05)。2组Barthel指数均高于治疗前,MMSE评分、NIHSS评分、神经功能缺损评分、改良波士顿汉语失语症评分均低于治疗前,差异均有统计学意义(P<0.01);观察组Barthel指数高于对照组,MMSE评分、NIHSS评分、神经功能缺损评分、改良波士顿汉语失语症评分均低于对照组,差异均有统计学意义(P<0.01)。结论:在常规治疗基础上予血栓通注射液联合银杏达莫注射液治疗,可有效缓解临床症状,改善患者的神经功能,提高认知功能、语言功能和生活质量,更有效地促进患者的康复。Objective： To observe the clinical effect of Xueshuantong injection combined with ginkgo dipyridolum injection for spastic hemiplegia after stroke based on routine treatment. Methods：Divided 108 cases of patients with spastic hemiplegia after stroke into the control group and the observation group randomly, 54 cases in each group. The control group was given routine treatment combined with Xueshuantong injection,while the observation group additionally received Xueshuantong injection combined with ginkgo dipyridolum injection for treatment. The two groups both took 3 courses of treatment in total, 21 days as one course. Evaluated the clinical effect in the two groups. Applied the mini-mental state examination scale（MMSE） to assess cognitive function before and after treatment,used score of the improved Boston diagnostic aphasia examination-Chinese version to evaluate the language communication level, adopted Barthel index to assess the functional status of daily life activities, and applied scores of national institutes of health stroke scale（NIHSS） and neurological deficits to assess the degree of neurological impairment. Results： After treatment, the clinical effect in the observation group was better than that in the control group,difference being significant（P〈0.05）. The Barthel index in the two groups were both increased when compared with those before treatment,while the scores of MMSE,NIHSS,neurological deficits and the improved Boston diagnostic aphasia examination-Chinese version were lower than those before treatment, differences being significant（P〈0.01）. The Barthel index in the observation group was higher than those in the control group, while the scores of MMSE,NIHSS,neurological deficits and the improved Boston diagnostic aphasia examination-Chinese version were lower than those in the control group,differences being significant（P〈0.01）. Conclusion：The therapy of Xueshuantong injection combined with ginkgo dipyridolum injection based on routine treatment can effec

关 键 词：中风 痉挛性偏瘫 血栓通注射液 银杏达莫注射液 认知功能 生活质量 

分 类 号：R255.2[医药卫生—中医内科学]