中西医结合治疗脑梗死的临床研究

Combined Chinese and Western Medicine Treatment of Cerebral Infarction

目的:观察中西医结合治疗急性脑梗死的临床疗效及血液流变学、血脂变化。方法:将300例急性脑梗死患者随机分为治疗组与对照组两组,对照组采用西医常规治疗,治疗组在常规治疗上加服中药汤剂及配合针灸治疗。疗程结束后观察两组临床疗效,以及治疗前后血液流变学、血脂变化情况。结果:治疗组总有效率92.7%,对照组总有效率71.3%,两组比较差异有统计学意义(P<0.05),治疗组优于对照组;两组治疗后血液流变学指标血浆黏度、红细胞压积以及血脂指标总胆固醇、甘油三酯均降低,与治疗前比较均有统计学意义(P<0.05)。结论:采用中药配合针灸治疗脑梗死临床疗效显著,并且能降低急性脑梗死患者的血液流变学及血脂指标,值得临床推广。

Objective：To observe the combined Chinese and Western medicine treatment of acute cerebral infarction and the clinical effect of hemorheology,blood lipid changes.Methods：300 cases of acute cerebral infarction were randomly divided into treatment group and control group 2 group and control group treated with conventional Western medicine,the treatment group in the conventional treatment plus Chinese herb decoction,and with acupuncture treatment.Observed after the end of treatment the clinical efficacy of two groups,as well as before and after treatment hemorheology,blood lipid changes.Results：The total effective rate 92.7% in the control group,the total efficiency of 71.3% difference between the two groups was statistically significant （P〈0.05）,the treatment group than the control group;2 group after treatment,plasma viscosity,hemorheology,hematocrit,and serum lipids total cholesterol,triglycerides were lower compared with those before treatment were statistically significant （P〈0.05）.Conclusion Traditional Chinese Medicine and Acupuncture Treatment of cerebral infarction significantly,and can reduce blood rheology in patients with acute cerebral infarction and blood lipid indicators,worthy to be popularized.