运用寒热辨证治疗急性脑梗死的疗效观察

Treatment of acute cerebral infarction with differentiating cold and heat syndromes

目的探讨运用寒热辨证治疗急性脑梗死的方法。方法将63例脑梗死患者分为对照组31例、试验组32例,两组均予常规治疗;对照组未分型,加丹参注射液静脉滴注;试验组分寒、热证两型,分别加川芎嗪、葛根素静脉滴注;进行疗效、血液流变学变化及不良反应比较。结果试验组总有效率84.37%,对照组总有效率61.29%,差异有显著性意义(P<0.05);两组血液流变学指标及不良反应比较,差异有显著性意义(P<0.05)。结论寒热辨证治疗急性脑梗死有效率高于不辨证治疗。

Objectives To discuss the methods of treating acute cerebral infarction with differentiating cold and heat syndromes. Methods Sixty-three Patients were randomly divided into trial group （ 32 cases ） and control group （ 31 cases ）. Patients in both groups were given conventional treatment. In addition, Salvia injection was infused intravenously in control group; whereas in trial group, patients were classified into cold type to which Ligustrazine was added or heat type to which Puerarin was added. The efficacy, blood rheology and adverse reaction were compared. Results The total effective rate in trial group was 84. 37% and for control group it was 61.29% （P 〈 0. 05}. There were significant differences in the efficacy, blood rheology, and adverse reaction between two groups （ P 〈 0. 05 ）. Conclusion The effective rate in acute cerebral infarction treatment by differentiating Cold and heat syndromes is better than non-differentiations.