中西医结合诊治小脑梗死36例临床研究

Clinical Study on 36 Cases of Cerebellar Infarction Treated with Combined Treatment of Traditional Chinese and Western Medicine

目的观察水龙煎治疗小脑梗死的疗效,并与单纯西药治疗效果比较。方法选择经颅CT或颅MRI检查确诊的小脑梗死患者67例,按随机数字表法将其分为2组,治疗组36例,对照组31例。对照组用低分子右旋糖苷500mL静脉点滴,每日1次。治疗组在此基础上加服水龙煎。根据神经功能缺失积分值并结合患者总生活能力对疗效进行评定。结果67例患者均进入结果分析。治疗组和对照组总有效率分别为83.3%和58.1%,治疗组优于对照组(P<0.05),治疗后症状、体征改变所需时间均短于对照组(P<0.05～0.01)。结论水龙煎对于小脑梗死具有较好的治疗作用,优于单纯西药治疗。

Objective To observe the efficacy of Shuilongjian in treating cerebeUar infarction, and compare with the pure westem medicine. Methods 67 inpatients with cerebellar infarction enrolled were divided into two groups according to the method of random digits table, 36 cases in the treatment group and 31 cases in the control group. The control group was given 500 mL dextran by venoclysis, once a day. The treatment group was given Shuilongjian as an additional drug. The therapeutic effect was evaluated according to the nerve function and the total capability in dealing with daffy activities. Result All the 67 cases of cerebellar infarction were included in the analysis. The effective rate of the treatment group was better than that of control group with 83.3% and 58.1% （P〈0.05）. The time of the improvement of the symptoms and signs of treatment group was shorter than that of the control group （P〈0.05-0.01）. Conclusion Shuilongjian is effective on cerebeUar infarction. It is better than the pure westem medicine.