二联疗法配合心理疏导治疗中风病先兆证临床观察

Clinical Observation on Internal and External Treatment of TCM Combined with Psychological Consultation Treating 105 Patients with Threatened Apoplexy

目的观察二联疗法配合心理疏导治疗中风病先兆证的临床疗效。方法将135例患者随机分为两组,治疗组在常规用药基础上加用外敷乳没磁朱软膏于耳门、听会穴,内服潜阳熄风汤配合心理疏导;对照组给予常规西药,疗程1个月。比较两组治疗前后患者负面情绪、临床症状、颈动脉粥样硬化、血液总胆固醇、低密度脂蛋白、血糖的变化。结果治疗组总有效率为91.43%,明显高于对照组的63.33%;治疗组负面情绪,临床症状,颈动脉粥样硬化,血液成分的改善明显优于对照组(P<0.05或P<0.01)。结论二联疗法配合心理疏导治疗中风病先兆证,能够帮助患者建立合理情绪,明显改善临床症状,减轻颈动脉粥样硬化,稳衡血液成分,减少血脉伤害。

Objective： To observe the clinical effect of internal and external treatment of TCM on threatened apoplexy. Methods： 135 patients with threatened apoplexy were randomly divided into 2 groups ： 105 cases in the treatment group and 30 cases in the control group. The treatment group was given regular medication,Rumo cizhu ointment in front of the ear,Qianyang xifeng decoction as well as psychological consultation while the control group was given routine western medicine. The course of treatment lasted for a month. The negative mood,clinical symptom,carotid artery atherosclerosis,and blood constituent（CHOL,LDL-C,GLU） were compared before and after in both group. Results： The total effective rate of the treatment group was 91.4%,obviously higher than63.3% of the control group（P 〈0.05）. The negative mood,clinical symptom,carotid artery atherosclerosis,the blood constituent CHOL,LDL,GLU） improved more in the treatment group（P 〈0.05 or P 〈0.01）. Conclusion：The internal and external treatment of TCM combined with psychological consultation treating threatened apoplexy can help patients build rational mood,improve clinical symptom,alleviate carotid atherosclerosis,and regulate blood constituent such as CHOL,LDL-C and GLU content,so as to reduce blood vessel harm.