大柴胡汤联合依达拉奉治疗急性脑梗死40例临床疗效观察

Clinical curative effect observation of Dachaihu decoction combined with edaravone in the treatment of 40 cases of acute cerebral infarction

目的观察大柴胡汤联合依达拉奉治疗急性脑梗死的临床效果。方法将80例急性脑梗死患者随机分为对照组和观察组,每组40例。对照组患者采用西医常规治疗(包括依达拉奉),观察组患者在此基础上加用中药大柴胡汤治疗。比较两组患者治疗效果,治疗前后神经功能、生活质量改善情况。结果观察组患者的治疗总有效率达95.00%,显著高于对照组的75.00%(P<0.05);治疗后,观察组的NIHSS、BI、MRS评分均优于对照组(P<0.05)。结论采用大柴胡汤联合依达拉奉治疗急性脑梗死的临床效果显著,患者神经功能、生活质量恢复良好,炎症消退快速,卒中风险降低,值得临床推广应用。

Objective To observe the clinical effect of Dachaihu decoction combined with edaravone in the treatment of acute cerebral infarction. Methods Eighty cases of patients with acute cerebral infarction were randomly divided into control group and observation group, with 40 cases in each group. Conventional western medicine were used in the control group （including edaravone）, while Dachaihu decoction combined with conventional western medicine were used in the observation group. The treatment effect, nerve function and quality of life before and after treatment of the two groups were observed. Results The total effective rate of the observation group was 95.00%, which was significantly higher than 75.00% of the control group （P〈0.05）. The NIHSS, BI and MRS scores of the observation group were significantly superior to those of the control group （P〈0.05）. Conclusion For patients with acute cerebral infarction, the clinical effect of Dachaihu decoction combined with edaravone is remarkable. It is conductive to patients＂ recovery of neural function and life quality, and the inilammation disappeared quickly, with lower risk of stroke, which is worthy of clinical application.