中医结合治疗脑梗塞临床疗效探讨

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1、中医结合治疗脑梗塞临床疗效探讨［摘要］目的对脑梗塞采取屮西医结合治疗的临床疗效进行分析评估。方法整群选取2013年9月一2014年9月在该院就诊的96例脑梗塞患者作为研究对象，按随机数字表法分为两组，观察组的48例患者采取中西医结合方法进行治疗，对照组的48例患者只用西医方法进行治疗，对两组患者临床疗效、生活能力评分以及神经功能缺损评分(NIHSS)进行对比评估。结果观察组总冇效率为95.83%,对照组总冇效率为64.58%0观察组治疗总有效率显著高于対照组。治疗后，两组上述两项指标评分均有所改善，但观察组改善幅度

2、显著高于对照组。结论对于脑梗塞患者，实施中西医结合治疗效果显著，安全可靠，能够改善患者生活能力以及NIHSS评分，进而使患者生存质量得到有效提升；因此，值得在临床中采纳应用。［关键词］中西医结合；脑梗塞；神经功能缺损评分［中图分类号］R255［文献标识码］A［文章编号］1674-0742(2015)12(c)-0180-02StudyonClinicalCurativeEffectofCombinedTreatmentofTraditionalChineseMedicine且ndWesternMedicinefor

3、CerebralInfarctionDINGHuai-ranFirstdepartmentofneurology,XintaiPeople'sHospital,Xintai,ShandongProvince,271200China[Abstract]ObjectiveToanalyzeandevaluatetheclinicalcurativeeffectofcombinedtreatmentoftraditionalChinesemedicineandwesternmedicineforcerebralinfar

4、ction.Methods96casesofpatientswithcerebralinfarctiontreatedinourhospitalfromSeptember2013toSeptember2014wereselectedastheresearchobjectandrandomlydividedintotwogroupswith48casesineach,theobservationgroupweretreatedwithcombinedtreatmentoftraditionalChinesemedic

5、ineandwesternmedicine,thecontrolgroupweretreatedwithsimplewesternmedicine,theclinicalcurativeeffect,activityofdailylivingscoreandNIIISSofthetwogroupswereevaluated.ResultsThetotaltreatmenteffectiverateintheobservationgroupwasobviouslyhigherthanthatinthecontrolg

6、roup(95.83%vs64.58%),aftertreatment,thetwoindexscoresaboveofthetwogroupswereimproved,buttheimprovementintheobservationgroupwasobviouslyhigherthanthatinthecontrolgroup.ConclusionCombinedtreatmentoftraditionalChinesemedicineandwesternmedicineforpatientswithcereb

7、ralinfarctionhasanobviouseffectandissafeandreliable,whichcaneffectivelyimprovetheactivityofdailylivingofpatientsandNIIISSscorethuseffectivelyimprovingthepatient?ssurvivalquality,therefore,itisworthadoptingandapplicationinclinic.[Keywords]Combinedtreatmentoftra

8、dition且1Chinesemedicineandwesternmedicine；Cerebralinfarction；NIHSS脑梗塞是临床屮一种较为常见的疾病，又称之为缺血性脑卒屮、脑梗[l]o主耍表现为基于局限性脑组织的缺血性坏死，也可表现为脑软化，这两类征象主要是因脑部血液供应障碍、缺氧以及缺血等造成的。主要病因有二：其一为心源性病因，如慢性心房颤