疏血通结合西医治疗短暂性脑缺血发作临床观察

The Shuxuetong with Western medicine treatment clinical efficacy of a transient ischemic attack

目的观察疏血通对短暂性脑缺血发作患者的临床疗效,及其降低脑卒中发生概率的作用。方法按要求选取病例,随机分组,对照组按标准给予普通西医治疗;治疗组,在普通西医治疗的基础上给予中药疏血通治疗。检测一般项目,治疗前后采用经颅多普勒监测脑血流量变化并采用ABCD3量表评分。结果治疗后两组患者大脑中动脉平均血流速度之间差异有统计学意义,P<0.05;两组患者治疗后ABCD3评分改善值之间有统计学意义,P<0.01。结论疏血通结合西医治疗短暂性脑缺血发作能显著提高治疗效果,降低患者发生脑梗死的危险。

Objective Observe the clinical efficacy of using Shuxuetong in transient ischemic attack patients and the reducing of stroke probability. Methods As a randomized clinical trial, the control group was given ordinary western medicine treatment while the treatment group was given the treatment of Chinese medicine Shuxuetong on the basis of conventional western medicine treatment. Detecting general project, Doppler monitoring was used to detect changes in cerebral blood flow and record ABCD3Scale scores before and after treatment. Results After treatment, the difference between 2 groups of patients＇ blood flow velocity of middle cerebral artery was statistically significant （P 〈 0.05 ）. The difference between 2 groups of patients＇ improved value of ABCD3 score after treatment was statistically significant （P 〈 0.01 ）. Conclusion Using Shuxuetong combined with western medicine treatment could significantly improve the therapeutic effect and reduce the risk of cerebral infarction.