摘要
目的研究分析桑钩温胆汤加减结合西药治疗急性脑梗死患者的效果。方法选择于2015年2月—2017年12月接受治疗的70例急性脑梗死患者,遵照随机数字表法的分配法则,分为对照组(35例)、观察组(35例)。给予对照组行西药方式治疗(甘露醇静脉注射、奥扎格雷钠静滴、口服阿司匹林等),给予观察组行桑钩温胆汤加减结合西药方式治疗,比较2组患者治疗前后血液流变学指标以及临床疗效情况。结果治疗前,2组患者红细胞压积、纤维蛋白原、全血黏度、血浆黏度等血液流变学指标比较,差异显著(P <0. 05);经过不同的方式治疗后,观察组上述指标显著优于对照组,差异显著(P <0. 05)。观察组临床治疗总有效率(88. 6%)显著优于对照组(68. 6%),差异显著(P <0. 05)。且观察组治疗前后肝肾功能无显著变化(P> 0. 05)。结论给予急性脑梗死患者在临床中行桑钩温胆汤加减结合西药方式治疗,能够有效改善其多项临床血液流变学指标水平,提高治疗效果,可有效促进其康复。
Objective To study the effect of modified Sanggou Wendan decoction combined with western medicine in the treatment of acute cerebral infarction. Methods Seventy patients with acute cerebral infarction treated in our hospital from February 2015 to December 2017 were selected and divided into control group( n = 35) and observation group( n = 35) according to the distribution rule of random number table method. The patients in the control group were treated with western medicine( intravenous injection of mannitol,intravenous infusion of sodium ozagrel,oral aspirin,etc.). The observation group was treated with Sanggou Wendan decoction combined with western medicine.The blood rheology indicators and clinical efficacy before and after treatment was compared between the two groups of patients. Results Before treatment,the hemorheological parameters such as hematocrit, fibrinogen, whole blood viscosity, and plasma viscosity were significantly different between the two groups( P > 0. 05). After treatment with different methods,the above indicators in the observation group were significant better than those of the control group,and the difference was significant( P < 0. 05). The total effective rate of clinical treatment in the observation group( 88. 6%) was significantly better than that of the control group( 68. 6%),and the difference was significant( P < 0. 05). Conclusion Sanggu Wendan decoction combined with Western medicine in the treatment of acute cerebral infarction can effectively improve its multiple clinical hemorrheology indicators and the therapeutic effect,and can effectively promote its rehabilitation.
作者
谷伟中
GU Weizhong(Department of Neurology,Second Peopleg Hospital of Datong,Shanxi Province,Datong 037008,China)
出处
《光明中医》
2018年第21期3224-3226,共3页
GUANGMING JOURNAL OF CHINESE MEDICINE
关键词
中风
急性脑梗死
桑钩温胆汤
中西医结合疗法
Apoplexy
Acute cerebral infarction
Sanggou Wendan decoction
Therapy of integrated medicine
