强肾活血疗法联合拜阿司匹林治疗急性缺血性脑卒中40例

The curative effect of Qiangshen huoxue therapy combined with Bayaspirin for patients with acute ischemic stroke

目的:观察强肾活血疗法联合拜阿司匹林治疗急性缺血性脑卒中的临床疗效。方法:将80例患者随机分为观察组和对照组各40例。对照组给予拜阿司匹林及阿托伐他汀治疗,观察组在对照组治疗基础上加用强肾活血疗法,持续治疗1个月。观察2组患者治疗前后进行神经功能缺损情况、残障情况、日常生活能力、临床疗效和2年内复发情况。结果:脑卒中量表(NISHSS)评分、改良Rankin量表(MRS)评分及巴氏指数(BI)治疗前2组比较无明显差异(P>0.05);治疗后与对照组相比,观察组患者NISHSS及MRS评分均明显降低(P<0.05),BI增高更明显(P<0.05)。总有效率观察组为100.00%,对照组为87.5%,2组比较差异有统计学意义(P<0.05)。2年内复发情况发生率观察组较对照组明显降低(P<0.05)。结论:强肾活血疗法联合拜阿司匹林不仅可有效改善急性缺血性脑卒中患者的神经功能缺损、降低致残率,提高患者预后的日常生活能力及临床疗效,同时对预防缺血性事件的发生也有着积极的作用。

Objective：To study the curative effect of Qiangshen huoxue therapy combined with aspirin for patients with acute ischemic stroke. Methods：To select 80 cases of patients with acute ischemic stroke who were treated in our hospital from July 2010 to July 2012 as the research objects,and were randomly divided into observation group and control group,each group was 40 cases. The patients of control group were given Bayaspirin,and the patients of observation group were given Qiangshen huoxue therapy on the basis of that,two groups of patients were treated for 1month. Observed two groups of patients before and after treatment of nerve function defect situation, disabled situation and daily life ability,then compared and analyzed the clinical curative effect and recurrence rate in 2 years. Results：Compared with control group after treatment,NISHSS score and MRS score of patients in the observation group were significantly lower,BI was obviously increased,and the number of recovery and excellent were significantly increased;The incidence of ischemic events of patients in observation group in 2 years was significantly lower than that of the control group patients,the difference was statistically significant（P〈0.05）. Conclusion：Qiangshen huoxue therapy combined with Bayaspirin not only can effectively improve the neurologic impairment,reduce morbidity,improve the activity of daily livingt,and clinical effective patients with acute ischemic stroke after treatment,.and it also produce positive effect to prevent the happening of the ischemic events.