中西药注射剂联合治疗脑梗死临床疗效分析

Evaluation of treating cerebral infarction with traditional Chinese and western medicine

目的:分析中西药注射剂联合治疗脑梗死的疗效。方法:将72例脑梗死患者随机分为中西药注射剂联合治疗组及对照组,每组各36例。两组患者均采用休息、吸氧、病因治疗、降颅压、抗脑水肿、静脉滴注低分子右旋糖酐500 mL,培他啶20 mg,1天1次,连用10 d。联合治疗组加用盐酸川芎嗪注射液静脉点滴,1天1次,连用10 d。用统一判定标准进行疗效评价。结果:中西药注射剂联合治疗组基本治愈30例、显著进步6例,对照组基本治愈22例、显著进步14例;其基本治愈率、显著进步率均有显著性差异(P<0.05)。结论:中西药注射剂联合治疗脑梗死疗效高、安全性好,值得临床上进一步应用。

Objective ： To investigate the effect of treating cerebral infarction with traditional Chinese and western medicine. Methods： Seventy -two patients with cerebral infarction were divided randomly into trial group （n = 36） and control group （n = 36）. Patients in control group were treated with western medicine; patients in trial group were treated with traditional Chinese and western medicine, All patients were treated by rest, oxygen inhalation, intracranial pressure decreasing, brain edema relieving , low molecular dextran 40 500 mL intravenous infusion once daily , betahistine 20 mg once daily, the course was 10 days; besides, patients in trial group were treated with ligustrazine hydrochloride injection intravenous infusion on the basis above, once daily for 10 days. The therapeutic effects were evaluated by a certain criterion. Results： In trial group,30 patients were cured in general, 6 markedly improved; in control group, 22 patients were cured in general, 12 markedly improved. Compared these in the two groups, there were significant difference（P 〈 0, 05）. Conclusion： Treating cerebral infarction with traditional Chinese and western medicine has good effect and safety, deserves generalizing.