体外反搏与药物联合治疗脑梗塞效果观察

CURATIVE EFFECTS OF A COMBINATION OF EXTRACORPORAL COUNTERPULSATION AND MEDICINE ON CEREBRAL INFARCTION

对３３例脑梗塞患者采用体外反搏与药物相结合进行治疗（反搏组），另３３例单纯药物治疗作为对照组。结果：反搏组基本痊愈率与显效率之和为８１．８％，对照组为４２．４％，两组差异显著（Ｐ＜０．０１）。与对照组比较，反搏组全血粘度下降极显著（Ｐ＜０．０１），红细胞压积（Ｈｃｔ）、血浆比粘度、血沉下降显著（Ｐ＜０．０５），但红细胞电泳时间、纤维蛋白质含量两组比较无显著差异。

Thirty-three of the 66 patients with acute cerebral infarction weretreated by a combination of extracorporal counterpulsation(ECP )with medicine(theECP group)and the other 33 patients served as controls who were treated withmedicine alone. The sum of the cure rate and excellent effective rate in the ECP groupwas 88%and in the control group was 24.4%,the therapeutic efficacy beingsignificantly different(P〈 0.01).When compared with the control group,bloodviscosity,Hct,viscosity of plasmatic ratio and ESR were decreased significantly in theECP group,but the time of electrophoresis of red cells and fibrinogen content had nosignificant differance between the two groups.