探讨中西医联合疗法对改善脑梗死后遗症临床症状的影响  

Explore the Effect of Combined Therapy of Traditional Chinese and Western Medicine on Improving the Clinical Symptoms of Cerebral Infarction Sequelae

作　　者：刘伟 LIU Wei(Department of Neurology,Shandong Southwest Hospital,Liaocheng,Shandong Province,252000 China)

机构地区：[1]鲁西南医院神经内科,山东聊城252000

出　　处：《中外医疗》2020年第24期1-3,7,共4页China & Foreign Medical Treatment

摘　　要：目的探讨中西医联合疗法对改善脑梗死后遗症临床症状的影响效果分析。方法方便选择2018年5月—2019年1月于该院神经内科诊断为脑梗死,并住院治疗的120例患者为研究对象,所有患者经临床检验或检查评估已确诊均存在不同程度的脑梗死后遗症。按照随机数字表法将其分为对照组和观察组,各60例。对照组接受西医治疗,观察组在对照组基础上联合中医治疗,观察两组患者治疗前后1个月的临床病情改善情况与治疗效果的变化,探讨中西医联合疗法针对脑梗死后遗症的临床应用价值。结果①治疗前两组患者神经功能缺损程度情况差异无统计学意义(25.65±8.55)分vs (26.62±8.73)分(t=0.964,P=0.214),治疗后1个月组内比较发现神经功能缺损程度降低(t=7.765、4.964,P=0.000、0.003),且观察组显著低于对照组,差异有统计学意义(P<0.05);②治疗后1个月观察发现,两组患者生活能力评分情况较治疗前升高(35.36±2.97)分vs (63.98±6.64)分(t=11.374,P=0.000);(35.67±2.51)分vs (50.25±6.53)分(t=6.483,P=0.007),且观察组评分更优于对照组,差异有统计学意义(P<0.05);③与对照组相比,治疗前血液粘滞度及凝血功能差异无统计学意义(P>0.05),治疗后观察组明显好转(1.48±0.16)mPa·s vs(1.82±0.14)mPa·s(t=7.895,P=0.005);(3.86±0.14)g/L vs (4.35±0.11)g/L(t=8.265,P=0.003);④经中西医联合治疗后,观察组治疗总有效率显著提高(χ^2=8.711,P=0.003)。结论中西医结合治疗脑梗死后血管性痴呆疗效显著,能够有效改善脑细胞损伤,促进心血管平衡,提升其生命质量,值得推荐。Objective To explore the effect of combined therapy of Chinese and Western medicine on improving the clinical symptoms of cerebral infarction sequelae.Methods From May 2018 to January 2019,120 patients who were diagnosed with cerebral infarction in the Department of Neurology of the hospital and were hospitalized were convenient selected as the research objects.All patients have been diagnosed with different degrees of cerebral infarction sequelae after clinical examination or evaluation.According to the random number table method,they were divided into control group and observation group,each with 60 cases.The control group received Western medicine treatment,and the observation group was combined with traditional Chinese medicine treatment on the basis of the control group.The clinical improvement of the two groups of patients before and after treatment and the changes in the treatment effect were observed for one month before and after treatment,and the clinical application value of combined Chinese and Western medicine for the sequelae of cerebral infarction was explored.Results 1.There was no significant difference in the degree of neurological deficit between the two groups before treatment(25.65±8.55)points vs(26.62±8.73)points(t=0.964,P=0.214),and the neurological deficit was reduced within 1 month after treatment(t=7.765,4.964,P=0.000,0.003),and the observation group was significantly lower than the control group,the difference was statistically significant(P<0.05);2.Observed 1 month after treatment,it was found that the living ability scores of the two groups were better than those of the treatment(35.36±2.97)points vs(63.98±6.64)points(t=11.374,P=0.000);(35.67±2.51)points vs(50.25±6.53)points,(t=6.483,P=0.007),and the observation group score was better than the control group,the difference was statistically significant(P<0.05);3.Compared with the control group,there was no statistically significant difference in blood viscosity and coagulation function before treatment,and the observation group i

关 键 词：中西医联合疗法 脑梗死后遗症 神经功能缺损程度 生活质量 血流动力学 总有效率 

分 类 号：R5[医药卫生—内科学]