扶正祛瘀化痰法治疗急性缺血性脑卒中的疗效及其对医院获得性肺炎的预防作用

Clinical Effect of Health-strengthening,Stasis-resolving and Phlegm-eliminating Therapy on Acute Ischemic Cerebral Stroke and Its Preventive Effect on Hospital-acquired Pneumonia

目的:观察中医扶正祛瘀化痰法治疗急性缺血性脑卒中(ICS)的临床疗效及其对患者并发医院获得性肺炎(HAP)的预防作用。方法:100例风痰瘀阻型急性ICS患者随机分为治疗组和对照组,每组50例。对照组采用西医常规治疗,治疗组采用扶正祛瘀化痰中药结合西医常规治疗,疗程为14 d。比较两组患者的临床疗效及HAP的发生率。结果:治疗后,治疗组和对照组的总有效率分别为86.0%和58.0%,两组临床疗效比较,差异有统计学意义(P<0.01)。治疗期间,治疗组的HAP发生率为10.0%,对照组为30.0%,两组比较差异有统计学意义(P<0.05)。结论:扶正祛瘀化痰法结合西医常规疗法治疗急性ICS具有较好的临床疗效,并能有效预防急性ICS患者并发HAP。

Objective： To observe the clinical effect of health-strengthening, stasis-resolving and phlegm-eliminating therapy on acute ischemic cerebral stroke （ICS） and its preventive effect on hospital-acquired pneumonia （HAP）. Methods： One hundred patients of wind-phlegm-stasis stagnation type with acute ICS were randomly divided into two groups： the control group in which 50 cases were treated with western medicine and the treatment group in which 50 cases were treated with health-strengthening, stasis-resolving and phlegm-eliminating therapy combined with western medicine, with a course of 14 days. The elinical effect and the incidence of HAP were observed and compared. Results： After treatment, the total effective rates of treatment group and control group were 86.0% and 58.0% respectively, with a statistical difference between the two grnups （ P 〈0.01 ）. In the course of treatment, the incidence of HAP of treatment group and control group were 10.0% and 30.0% respectively, with a statistical difference between the two groups （P 〈 0.05 ）. Conclusion： Health-strengthening, stasis-resolving and phlegm-eliminating therapy combined with western medicine have good effect on acute ICS, and can prevent HAP from happening in patients with acute ICS.