颈动脉灌注联合黄芪注射液治疗急性脑梗死临床研究

Clinical observation of the curative effect to acute cerebral infarction treated by pouring the drup into carotis and instilling Huangqi injection：report of 55 Cases

目的观察颈动脉灌注联合黄芪注射液对提高急性脑梗死的临床疗效。方法将104例急性脑梗死患者随机分为颈动脉灌注消栓灵、灯盏花联合静脉滴注黄芪注射液（治疗组）55例和低分子右旋糖酐加川芎嗪注射液（对照组）49例，观察治疗前后临床神经功能缺损程度评分和血液流变学检查变化。结果治疗组的总有效率为90．91％，对照组为71．43％，治疗组改善血液流变学效果优于对照组（P〈0．05）。结论颈动脉灌注联合黄芪注射液治疗急性脑梗死可达到补气、活血化瘀的效果，可提高局部药物浓度，改善血液循环，改善脑缺血半暗带区的供血状态，能提高临床疗效且方法简单易行。

Objective To observe clinical curative effect of the pouring the drup into carotis and Instilling Huangqi injection to acute cerebral infarction. Methods 55 cases of the treatment group were treated by Pouring XiaoShuanLing powder injection and DengZhanHua injection into carotis, and instilling Huangqi injection. 49 cases of the contrast group were treated by instilling Dextran 40 Glusose injection and Ligustrazine Hydrochloride injection. At the beginning and end of therapy,it must be needed to observe the score of clinical nurve function insufficiance and blood fluid mechanics. Results The total ratio of efficiency to raise the score of clinical nurve function insufficiance： the treatment group is 90.91%, and the contrast group is 71.43%.And the treatment group＇s effect is evidently better than the contrast group 抯 to blood fluid mechanics（P〈0.05）. Conclusions This therapy could tonify the Qi, eliminate the stagnant and activate the blood, and that could raise local drup density level, increased cerebral blood circulation and better the blood-supplied state of the semi-anemia area.Therefor, it made it possible to promote the clinical curative effect. Surely this technique should be simple and easy to operate.