芳香开窍法对急性缺血性中风治疗作用的临床观察  

Therapeutic Effect of Resuscitation-inducing Aromatic Herbs for Acute Ischemic Stroke

作　　者：刘亚敏[1] 张赐安[1] 徐秋英[1] 林培政[1] 彭胜权[1] 

机构地区：[1]广州中医药大学第一附属医院,广州510405

出　　处：《广州中医药大学学报》2002年第3期165-168,174,共5页Journal of Guangzhou University of Traditional Chinese Medicine

基　　金：广东省中医药管理局资助项目 (编号 :10 10 75 )

摘　　要：【目的】观察芳香开窍法对急性缺血性中风的治疗作用。【方法】将 4 4例急性缺血性中风的患者随机分为 2组 ,治疗组 2 0例 ,对照组 2 4例 ,两组均按中医辨证处方用药 ,每日 1剂 ,治疗组在此基础上加服通窍胶囊 (每粒胶囊含人工麝香0 0 4g ,冰片 0 1g) ,每次 1粒 ,每日 3次。对照组不用开窍药。疗程 2周。【结果】治疗组显效率为 80 0 % ,总有效率为95 0 % ,对照组显效率为 5 4 2 % ,总有效率为 91 6 % ,两组显效率差异有显著意义 (P <0 0 5 ) ,而总有效率差异无显著性。意识障碍的改善比较 :治疗组的愈显率为 80 0 % ,对照组为 35 3% ,差异有显著性 (P <0 .0 5 ) ;治疗组的平均起效时间是(2 5 4 0± 2 3 10 )h ,而对照组为 (44 30± 2 5 30 )h ,两组比较差异有显著性 (P <0 .0 5 )。【结论】在辨证论治基础上早期配合芳香开窍法能明显提高急性缺血性中风的临床疗效 ,尤其在改善意识障碍、药物的起效时间上有积极的意义。To investigate the effect of treatment based on syndrome differentiation combined with resuscitation inducing aromatic herbs for acute ischemic stroke (AIS).Forty four cases of AIS were randomly allocated to two groups. Twenty cases of Group A were treated with treatment based on syndrome differentiation combined with Tongqiao capsule(each capsule containing Moschus 0 04?g and Borneolum 0 1?g)and twenty four of Group B with treatment based on syndrome differentiation. Therapeutic effect were observed in the second week after medication. The total effective rate was 95% in Group A and 91 6% in Group B, the difference being not significant. However, the difference of markedly effective rate (80 0% in Group A and 54 2% in Group B) was significant (P<0 05). The effective rate in improving disorder of consciousness was 80 0% and 35 3%, and the effect producing time was (25 4± 23 10) hours and (44 30± 25 30) hours in Group A and Group B respectively (P<0 05).[Conclusion]For AIS, treatment based on syndrome differentiation combined with resuscitation inducing aromatic herbs exerts a better effect than the sole treatment based on syndrome differentiation, especially in improving disorder of consciousness and shortening the effect producing time.

关 键 词：作用机理 芳香开窍法 急性缺血性中风 临床观察 冰片 通窍胶囊 

分 类 号：R255.2[医药卫生—中医内科学]