通腑降浊法治疗缺血性脑卒中急性期的临床研究

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1、山东中医药大学硕士学位论文通腑降浊法治疗缺血性脑卒中急性期的临床研究姓名：孔祥勇申请学位级别：硕士专业：中医临床基础指导教师：张甦颖2003.4.20墨壁垒鎏壁兰壁兰垒登壁兰主塞兰塑壁些!燮——提要目的；对邋腑降浊法治疗急往缺盘往脑卒中怠性期的梳理及疲溺蘸景律7初步探讨，以期为该病的中医药治疗提供新的思路和有效方药。方法：通过查阅大量吉今文献资料，结合缺血性脑卒中急性期的病机演变规律和中医脏腑相关理论以及稿床辨证特色，认为该病的基本病机为痰瘀互结，腑气不通，络脉痹阻，且尤以腑气不遐为关键。据此组方通赡降浊汤治疗缺衄性脑卒中急性期30例，井与尼可林、藏复

2、康组弦对照。lO天必一疗程，治疗薅个疗程聪，进行蠛床疗效与嫩滚流变学揩f标豹赢察、鳞祭：实验组总有效率为96。33％：对照缀总纛效攀戈76．67％。嚣组比＼较，具葡鬣著性差掰

3、theacutestageofcerebralischemicstrokewiththerapyofdredgingQiofFu-organandsubsidingreverseSpeeiality：ClinicbasisofTCM‘JinSuiTao(ueAuthor：KongXiang-YongTutor：AssociateProf．Zhang-ShuyingAbstractObjective：Toexploreelementarilythemechanismandtheappliedforegroundoftreatingtheacutestag

4、eofcerebralischemicstroke(CIS)withatherapyofdredgingQiofFu．organandsubsidingreverse．andtoprovideanewideaandeffectivetherapyoftreatingtheacutestageofcerebralischemiestrokewithChineseherbs．Method：BasedonconsultinglotsofChineseandforeigndocumentation，wethinkthatthemainmechanismofth

5、eacutestageofcerebralischemicarokeisattributedtoobstructionofQiofFu-organ，phlegmandhemostasis．SoobstructionofQiofFu-organisveryimportant．Onthegroundsofit，wesetdownthedecoctionofT0ng·Fu·Jiang-Zhuo．60caseswit}lCISaredividedintotwogroupsrandomly．ThenthedecoctionofTong-Fu-Jiang—Zhuo

6、isgiventotheexperimentgroup，whileCiticolinumandPiracetamisgiventothecontrolgroup．Oneperiodoftreatmentisfortendays．Aftertwoperiodsoftreatment，thecurativeeffectandsomeguidelinesofbloodstreamareobserved．Results：Thetotallyeffectiverateofexperimentgroupis96．33％：andcomparedtothatofcon

7、trolgroupis76．67％．Thereisasignificantdifferencebetweenthem(P

8、thintheoryandclinicpractice．ThustherapyofTong-F