中药不同时机介入治疗脑梗死急性期的效果分析

Effect of Different Time of Traditional Chinese Medicine Interventional Therapy on Acute Phase of Cerebral Infarction

目的探讨中药不同时机介入治疗脑梗死急性期的临床效果。方法收集2018年9月-2019年9月期间来本院就诊的180例脑梗死急性期患者作为研究对象,所有患者均在常规治疗的基础上用中药偏瘫一号方治疗,患者按照中药介入的不同时机分组,将发病第1天中药治疗的患者作为A组(n=60),将发病第2天中药介入治疗的患者作为B组(n=60),发病第3天中药介入治疗的患者作为C组(n=60),比较三组临床疗效、Brathel、NIHSS评分。结果C组显效52例,有效5例,总有效率与A组、B组比较更高,差异有统计学意义(P<0.05);B组总有效率与A组比较更高,差异有统计学意义(P<0.05)。治疗后三组Brathel与治疗前比较明显升高,NIHSS评分降低,差异有统计学意义(P<0.05);治疗后C组Brathel与A组、B组比较更高,NIHSS评分与A组、B组比较更低,差异有统计学意义(P<0.05),B组Brathel与A组比较更高,NIHSS评分更低,差异有统计学意义(P<0.05)。结论在常规治疗基础上应用中药偏瘫一号方治疗脑梗死急性期患者效果确切,但是在脑梗死急性期第3天介入治疗效果明显优于第1天,第2天,能够更有效缓解患者的临床症状,改善神经功能缺损程度,提高日常生活活动能力。

Objective To explore the clinical effect of different time of traditional Chinese medicine interventional therapy on the acute phase of cerebral infarction.Methods 180 patients with acute cerebral infarction who came to our hospital from September 2018 to September 2019 were enrolled.All patients were treated with traditional Chinese medicine(hemiplegia No.1)on the basis of conventional treatment.Patients were treated according to different Chinese medicine interventions.Time grouping,patients with Chinese medicine treatment on the first day of onset as group A(n=60),patients with interventional treatment for 2 days of onset of disease as group B(n=60),patients with interventional treatment of traditional Chinese medicine on the third day of onset Group C(n=60).The clinical efficacy,Brathel,NIHSS scores of the three groups were compared.Results In group C,52 cases were markedly effective and 5 cases were effective.The total effective rate of group C was higher than that of group A and group B,and the difference was statistically significant(P<0.05).The total effective rate of group B was higher than that of group A.The difference was statistically significant.Academic significance(P<0.05).After treatment,the three groups of Brathel were significantly higher than before treatment,and the NIHSS score was decreased,the difference was statistically significant(P<0.05).After treatment,the group B Brathel was higher than the A group and the B group,and the NIHSS score was compared with the A group and B.The group was lower,the difference was statistically significant(P<0.05).The B group Brathel was higher than the A group,and the NIHSS score was lower,the difference was statistically significant(P<0.05).Conclusion On the basis of routine treatment,the effect of traditional Chinese medicine hemiplegia No.1 in the treatment of patients with acute cerebral infarction is accurate,but the interventional treatment effect on the third day of acute cerebral infarction is significantly better than that on the first day and the second day,which can more effectively alleviate the clinical symptoms of patients,improve the degree of neurological impairment,and improve the ability of daily life activities.