卒中单元中熄风化痰活血法治疗急性脑梗死的临床观察

Clinical Observation on Effects of Therapeutic Method of Expelling Wind,Eliminating Phlegm and Promoting Blood Circulation in Treating Acute Cerebral Infarction in Stroke Unit

目的利用卒中单元临床和数据平台,观察中医熄风化痰活血法对急性脑梗死患者治疗作用。方法将符合纳入标准的病例随机分为两组,对照组(36例)给予西医常规治疗,治疗组(32例)在西医常规治疗的基础上加用熄风化痰活血小复方,连续观察14天。比较两组治疗前后的中医症状评分、美国国立卫生研究院卒中量表(NIHSS)和Barthel指数(BI)评分。结果两组治疗后中医症状评分、NIHSS评分均降低,BI评分升高,且两组间比较差异有显著性(P＜0．05),以治疗组为优。结论熄风化痰活血法是治疗急性脑梗死的有效方法,以此法为指导的中医小复方在卒中单元中能发挥积极的治疗作用。

Objective To observe the effects of therapeutic method of expelling wind, eliminating phlegm and promoting blood circulation （EWEPPB） in treating acute cerebral infarction （ACI） depending on the clinical and data platform of stroke clinical unit. Methods ACI patients were randomly assigned to the control group （36 cases） treated by routine Western therapy alone and the treatment group （32 cases） with routine therapy plus Chinese medicinal compound for EWEPPB. The treatment course was 14 days. The scores of TCM symptom, the NIH stroke scale （NIHSS）, and Barthel index （BI） were used for evaluating the effect of treatment. Results The scores of TCM symptom and NIHSS decreased, and that of BI increased after treatment in both groups, and the treatment in the treatment group showed a effect significantly better than that in the control group （P〈0.05）. Conclusion EWEPPB is effective method in treating ACI, traditional Chinese compounds for EWEPPB could play a positive role in the stroke unit.