丙戊酸钠片与中医结合治疗脑梗死后迟发型癫痫的效果观察  

Observation on efficacy of sodium valproate tablets with TCMon delayed epilepsy after cerebral infarction

作　　者：李本煜 Li Benyu

机构地区：[1]昭通市中医医院,云南昭通657000

出　　处：《中医临床研究》2020年第23期72-74,共3页Clinical Journal Of Chinese Medicine

摘　　要：目的:探讨分析脑梗死后迟发型癫痫行中西医结合的治疗效果。方法:按数字法随机选取本院收治的66例脑梗死后迟发型癫痫患者,按照随机数字表法分为实验组33例和对照组33例,对照组采用常规西药治疗,实验组在西药治疗的基础上结合中药治疗,比较两组患者的临床疗效和治疗前后患者的认知水平变化情况。结果:实验组临床治疗的总有效率远优于对照组,组间差异明显(P<0.05);实验组的认知水平均优于对照组(P<0.05);实验组治疗后的中医证候积分比对照组显著更低,P<0.05;两组患者不良反应发生情况对比无明显差异(P>0.05);两组白细胞介素(Interleukin,IL)-1β水平治疗后均较治疗前显著下降,P<0.05,且治疗后实验组水平比对照组显著更低,P<0.05。结论:对脑梗死迟发型癫痫患者实施中西医结合治疗,临床疗效良好,且能改善患者的认知水平、中医证候积分,值得推广。Objective:To investigate and analyze the efficacy of the integrative medicine on delayed epilepsy after cerebral infarction.Methods:66 patients were divided into two groups,33 cases in each group.The control group was treated in western medicine,and the experimental group was treated with TCM medicine more.Results:The total efficiency in the experimental group was better than the control group(P<0.05).Cognitive level in the experimental group were better than the control group(P<0.05).TCM symptom score in the experimental group after treatment was significantly lower than the control group,P<0.05.There was no significant difference in the occurrence of adverse reactions between two groups(P>0.05).IL-1βlevels in two groups were significantly lower than before treatment,P<0.05,and the level in the experimental group was significantly lower than the control group,P<0.05.Conclusion:The integrative medicine on delayed epilepsy after cerebral infarction was effective,and can improve cognitive level.

关 键 词：脑梗死后迟发型癫痫 中西医结合 临床疗效 

分 类 号：R743.33[医药卫生—神经病学与精神病学]