| 引用本文:宋大桥，曹校校，俞小芬，楼建成，丁弘，潘海燕，韩彦文.中西医结合治疗急性脑出血的临床研究——中医中风病诊疗规范研究之二[J].世界中医药,2015,10(09):. |
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| 中西医结合治疗急性脑出血的临床研究——中医中风病诊疗规范研究之二 |
| Clinical Study on Integrative Medicine of Acute Cerebral Hemorrhage |
| 投稿时间：2014-10-28 |
| DOI：10.3969/j.issn.1673-7202.2015.09.017 |
| 中文关键词: 中风 出血性脑卒中 中医诊疗规范 |
| English Keywords:Stroke Hemorrhagic stroke Chinese medicine clinics specification |
| 基金项目:浙江省中医药科技计划项目——“中医中风病诊疗规范研究”(编号：20090690096) |
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| 中文摘要: |
| 目的：通过系列临床研究，体现我科中医药治疗急性脑出血的独特临床优势，并验证我科中医中风病诊疗方案的科学性、实用性、可重复性及可操作性。方法：将120例急性脑出血患者随机分为西医治疗组和中西医结合治疗组。通过对治疗前后血超氧化物歧化酶(Superoxide Dismutase，SOD)、脂质过氧化物血清丙二醛(MDA)、C反应蛋白(C-reactiVe Protein，CRP)、同型半胱氨酸(Homocysteine，HCY)指标的比较，分析比较2组患者之间在近期疗效方面的差异;通过对2组患者之间治疗前后的神经功能缺损评分、Barthel指数的比较，分析评价它们之间远期疗效的优劣。结果：近期指标：中西医结合治疗组的MDA、CRP、HCY比西医治疗组有明显下降(P<0.05)，SOD升高(P<0.05)，优于西医治疗组。远期指标：中西医结合治疗组的神经功能缺损评分减低、Barthel指数提高比西医治疗组差异有统计学意义(P<0.05)。结论：中西医结合治疗急性出血性脑卒中比单纯西医治疗有明显的优势。 |
| English Summary: |
| To reflect the unique clinical advantages of Chinese medicine in treating acute cerebral hemorrhage and stroke， and to verify scientific， practical， repeatable and operability treatment programs in our department TCM.Methods：According to the random number table，120 cases of patients with acute cerebral hemorrhage in our department were randomly divided into Western medicine treatment group (n=60) and Chinese medicine combine with Western medicine therapy group (n=60). Before and after treatment， blood superoxide dismutase， lipid peroxides in serum MDA， C-reactive protein， homocysteine indicators were observed. The difference between the short-term effect in terms of analysis and comparison of the two groups of patients were conducted; through the merits of the neurological deficit scores between the two groups of patients before and after treatment were observed， comparing the index， analysis and evaluation of long-term efficacy between them.Results：Recent indicators： Chinese medicine combine with Western medicine treatment group MDA， CRP， HCY decreased significantly (P<0.05) than those in western medicine group， and SOD increased (P<0.05)， better than that of western medicine group. Long-term indicators： Chinese medicine combine with Western medicine neurological impairment score was lower intreatment group， Barthel index increased significantly differently than Western medicine treatment group (P<0.05).Conclusion：Chinese medicine combine with Western medicine treatment of acute hemorrhagic stroke has a distinct advantage over applying Western medicine alone. |
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