中医药治疗短暂性脑缺血发作50例分析

Analysis of treating 50 cases of transient ischemic attack in TCM

目的：观察分析中医药治疗短暂性脑缺血发作的临床效果。方法：对同期收住100例TIA患者，随机分为观察组和对照组，观察组采用中医药辨证施治，对照组使用西医治疗，并进行疗效评价。结果：观察组50例，治愈42例，占84％；有效6例，占12％；无效2例，占4％；总有效率96％（48／50）。1年内随访：脑卒中发生3例，占6％；对照组：治愈24例，占48％，有效17例，占34％，总有效率为82％；无效9例，占22％；1年内随访：脑卒中发生9例，占22％；经统计学处理：两组治愈率比较，差异有显著性（P〈0．01）；总效率比较P〈0．05；1年内脑卒中发生率比较P〈0．05。结论：TIA作为脑梗死的独立危险因素之一，是脑卒中的前兆。脑梗死则发病率，致死率，致残率均很高，采用中医药辨证治疗TIA，能够提高临床治愈率，降低1年脑梗死发病率。

Objective： To observe analyze the clinical effect of treating transient ischemie attack in TCM. Methods： Choose 100 eases of TIA patients, randomly divided into observation group and control group, taking TCM treatment in differentiation in observation group, taking the integrative medicine in control group, and effects of evaluate. Results： Observation group for 50 eases, curing for 42 eases, proportion for 84%; the efficiency for 6 cases, proportion for 12%; the invalid for 2 eases, proportion for 4%; the total efficiency for 96% （48/50）. Observing of 1 year： Brain death for 3 eases, proportion for 6%; Control group： Cure for 24 eases, proportion for 48%, the efficiency for 17 eases, proportion for 34%, the total efficiency for 82%; the invalid for 9 eases, proportion for 22%; Observing of 1 year： Brain death for 9 eases, proportion for 22%; by statistically analyzing both data： Compare of curing rate in two groups, have a significant difference （P〈0.01）; the total for P〈0.05; in l year the incidence of brain death P〈0.05. Conclusion： TIA is omen of brain death. The morbidity rate, death rate, disability rate in brain death is more high, taking TCM treating TIA, can be improve curing rate of clinical, lower the disease incidence of brain death in lyear.