中西医结合治疗缺血性中风126例辨治研究

Treating 126 Cases of Ischemic Stroke with Integration of Traditional Chinese and Western Medicine Based on Differentiation

目的:观察中西医结合治疗缺血性中风的临床疗效。方法:将126例缺血性中风患者随机分为两组,对照组采用溶栓、降纤、抗凝、抗血小板抑制剂、脑保护剂及对症治疗。治疗组在此基础上加以中医辨证分型予以中药治疗。两组进行神经功能缺损评分及临床疗效比较。结果:经治两个疗程,两组患者自身治疗前后对比均较治疗前有改善,对照组P<0.05,治疗组P<0.01;组间比较,治疗组的神经功能缺损评分改善情况优于对照组(P<0.05)。治疗组总有效率97.22%,对照组88.89%。两组比较,差异有显著性意义,P<0.01。结论:中西医结合治疗缺血性中风疗效优于单纯西医治疗。

Objective： To observe the clinical curative effect of integration oftraditional Chinese and westem medicine in treating ischemic stroke. Methods： 126 cases of ischemic stroke were randomly divided into the treatment group and the contrast group. The contrast group was treated bv western medicine to dissolve thrombus and decrease fibrin, anticoagulant, anti-depressor of thrombocyte and brain protecting medicine based on symptom. The treatment group was treated with integration of traditional Chinese and westem medicine based on differentiation for syndrome classification additionally. The value of neurologic impairment and the clinical curative effect of two groups were compared. Results：Symptom in both groups were improved after two courses of therapy （ the contranst group ： P 〈 0.05 ; the treatment group ： P 〈 0.01 ）. The value improvement of neurologic impairment in the treatment group was better than that in the contrast group （ P 〈 0.05 ）. The total effective ration of the treatment group and the contrast group were 97.22% and 88.89% respectively, The difference had significant meaning （ P 〈 0.01 ）. Conclusion：The effect of integration of traditional Chinese and western medicine on treating ischemic stroke is superior to that of western medicine only.