早期康复及中药三七治疗脑梗死

Chinese Medicine Notoginseng Combined with Early Rehabilitation to Treat Cerebral Infarction

目的 :观察中药三七提取物血塞通加早期康复治疗对脑梗死的疗效。方法 :2 0 0例脑梗死患者随机分为 2组 ,研究组 10 0例采用血塞通 2 0 0mg加 5 %葡萄糖或生理盐水 2 5 0～ 5 0 0ml静脉滴注 ,生命体征稳定即采用易化技术进行早期康复治疗 ;对照组 10 0例按传统方法治疗。 2组治疗前后均采用临床神经功能缺损程度评分标准评定疗效 ,Brunnstrom和Barthel等评定偏瘫功能恢复。结果 :治疗后研究组各项指标评分明显优于对照组 ,差异有显著性。结论 :中药三七提取物血塞通加早期康复是脑梗死急性期治疗的优选方法。

Objective:To observe the therapeutic effects of Chinese medicine notoginseng combined with early rehabilitation in the treatment of cerebral infarction. Methods:100 cases of cerebral infarction in the treated group received the Chinese medicine notoginseng (200 mg plus 5 % glucose or physiological saline 250～500 ml intravenous drip, once per day, 20 days as a period of treatments). When the vital signs stabilized, the patients received early rehabilitation with the 'facilitation technique'. 100 cases in the control group received traditional therapy. In the two groups the clinical neurological impairment grading standard was used to assess the therapeutic effects; Brunnstrom and Barthel index were used to grade the function recovery of hemiplegia. Results:The therapeutic effects in the treated group was more satisfactory than that in the control group ( P <0.01). After treatment, the grading of varied indexes in the treated group was obviously better than that in the control group with the difference being very significant. Conclusion:Chinese medicine notoginseng combined with early rehabilitation was an optimal therapy for acute cerebral infarction.