中西医结合序贯方案治疗出血性中风56例疗效观察

Therapeutic Effect of Sequential Treatment of Integrated Chinese and Western Medicine on 56 Cases of Hemorrhagic Stroke

目的观察中西结合序贯方案治疗出血性中风的临床疗效。方法将83例出血性中风患者随机分为观察组56例,对照组27例,对照组给予基础治疗,观察组在此基础上给予中西医结合序贯方案,包括中药针剂与中药汤剂及针刺,观察两组患者治疗前及治疗第21天的头颅血肿体积,记录两组患者治疗前及治疗后第7、21、42天格拉斯哥昏迷量表评分、中风病积分、神经功能缺损评分、日常生活活动能力量表评分变化。结果观察组能减少血肿体积,改善格拉斯哥昏迷量表评分、中风病积分、神经功能缺损评分、生活能力状况评分,其中第7天格拉斯哥昏迷量表评分、第21天血肿体积、第42天中风病积分、第7天和第42天日常生活活动能力量表评分与对照组比较差异有统计学意义(P<0.05)。结论中西医结合序贯方案治疗出血性中风能够促进患者神志转清,有效促进血肿吸收,减轻神经功能缺损。

Objective To observe the therapeutic effect of sequen tial therapy of in tegrative Chinese and western medicine for hemorrhagic stroke.Methods Eighty-th ree cases of hemorrhagic stroke were randomized into the observation group of 56 cases and c ontrol group of 27 cases.Both groups was given conventional western medication.The sequential Chinese medication including intravenous injection,oral decoction and acupuncture was added in the observation group.The cerebral hematoma volume,the scores of Glasgow Coma Scale（GCS）,Neurological Deficit Score（NDS） and Barthel index of activities of daily living（ADL） were observed before and on the 7th and 21st day of the treatment.Results The hematoma and the scores of GCS,symptom int egral,NDS and Barthel ADL index improved in the observation group.The GCS scor es on the 7th day,the hematoma volume on the 21st day,the symptom integral on the 42nd day,and the scores of Barthel ADL index on the 7th and 42nd day were s ignificantly improved as compared with the control group（P〈0.05）.C onclusion The sequential therapy of integrative Chinese and western medicine for hemorrhagic stroke could improve the consciousness recovery,promote the absorption of hema toma and reduce the neurological deficit.