| 引用本文:张玉莲.中西药结合治疗急性大面积脑梗死的临床疗效观察[J].世界中医药,2009,4(1):. |
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| 中西药结合治疗急性大面积脑梗死的临床疗效观察 |
| Clinical Observation of Treatment of Acute Massive Cerebral Infarction with Integrative Chinese and Western Medicine |
| 投稿时间：2008-04-28 |
| DOI： |
| 中文关键词: 急性大面积脑梗死/中西医结合疗法 |
| English Keywords:Acute Massive Cerebral Infarction/ Chinese Medical Therapy |
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| 中文摘要: |
| 目的：探索提高治疗急性大面积脑梗死临床疗效的途径。方法：将48例患者随机分为治疗组和对照组。对照组24例，采用常规西医脱水降颅压、脑保护、抗血小板聚集、改善循环及对症支持等治疗；治疗组24例，采用常规西医治疗配合中药灌肠。28天后统计疗效。结果：治疗组总有效率为79.8%，对照组总有效率为53.6%，经统计学处理，组间差异有显著性意义(P<0.05)。美国国立卫生研究院卒中量表(NIHSS)评分治疗组明显优于对照组(P<0.05)。昏迷量表(GCS)评分治疗组明显优于对照组(P<0.05)。结论：中西药结合治疗大面积脑梗死明显优于单纯西医治疗，能明显改善患者的神经功能缺损程度，降低死亡率。 |
| English Summary: |
| to explore effective treatments for acute massive cerebral infarction.Methods:Forty-eight patients were randomly divided to treatment group and control group. Twenty-four patients of the control group were given routine western medicine treatment, such as reducing intracranial pressure using dehydrator、cerebral protection、anti-platelet aggregation、blood circular improvement, and symptomatic therapy; The 24 patients of the treatment group were given enema of Chinese medicine in addition to western medicine treatment. Effect was observed 28 days later.Results:the total effective rate for treatment group was 79.8% with a significant difference to 53.6% of the control group (P<0.05). Treatment group also scored significantly higher at National Institute of Health Stroke Scale (NIHSS) (P<0.05) and Glasgow Coma Scale (GCS) (P<0.05).Conclusion:Integrative treatments of Chinese and western medicine is superior to simple western treatment, and can remarkably reduce neurologic impairment and death rate. |
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