西医常规疗法加黄芪注射液治疗急性脑梗死的临床观察.doc

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1、西更常规疗法加黄茂注射液治疗急性脑梗死的临床观察广西中医药1999年第1期第22卷临床研究作者：黄立武单位：黄立武广西中医学院第一附屈医院530023南宁市园湖路2号关键词：脑槌死；黄茂注射液；血液流变学；超氧化物歧化酶摘要目的：观察黄茂注射液对急性脑梗死的治疗作用。方法：选择67例患者，按入院先后顺序分为2组，治疗组35列，采用西医常规疗法加黄便注射液治疗，对照组32例，单纯采川西医常规疗法治疗，观察治疗前示血液流变学和超氧化物歧化酶(SOD)的变化，并于治疗20天后进行疗效评定。结果：2组治疗前血粘度较高，SOD活力下降，治疗后均有不同程度的改善，但治

2、疗组优于对照纟FL,2组比较有显著性差异(PV0.05)；临床疗效2组总有效率相似，分别为97」4%和90.63%,治疗组虽略高于对照组，但无统计学意义(P>0.05),痊愈+显效率分别为71.43%和46.88%,治疗组明显高于对照组，2组比较有显著性差异(P<0.05)o结论：黄便注射液具有较好的降低血粘度，促进血流，提高SOD活力的作用，与西医常规疗法合用起到协同作用，能提高脑梗死治愈率，减轻致残率。ClinicalObservationonRoutinTreatmentofWMwithHuangQiInjectioinTreatingAcuteCe

3、rebralInfarctionHuangLiwuJTheFirstAffiliatedHospitalofGuangxiCollegeofTCM,Nanning530023AstractObjective:ObservationontheeffectofHuangQiInjectiointreatingacutecerebralinfarction.Methods:Accordingtothesequeneeofadmission,67casesweredevidedinto2groups.Ofwhich35casesweretreatedwithrou

4、tintreatmentofWMandHuangQiInjectionastreatinggroup,while32casesweretreatedwithroutintreatmentofWMonlyascontrolgroup,toobservethechangesofbloodrheologyandSODbeforeandaftertreatment.Thetherapeuticevaluationwasmade20daysaftertreatment.Results:Beforetreatment,thebloodviscosityandSODof

5、thetwogroupswereveryhigh.Aftertreatmen匚inbothgroups,theyhadsomeimprovements,buttheimprovementofthetreatinggroupwasgreaterthanthatofthecontrolgruop・Therewasasignificantdiffereneebetweenthetwo(P<0.05).Thetotalresponseratesofthetwowere97」4%and90.63%respectively.Thoughtherateofthetrea

6、tinggroupwashigherthanthatofthecontrolgroup,therewasnosignificaneeinstatistic(P>0.05).Thecurerateandtheresponserateofthetwowere71.43%and46.88%respectively.Thatofthetreatinggroupwashigherthanthatofthecontrolgroupobviously.Therewasasignificantdifferencebetweenthetwo(P<0.05).Conclusi

7、on:HuangQiInjectiohasabetterfunctioninreducingbloodvoscosity,promotingbloodcirculation,raisingthevitalityofSOD•WhenitisusedwithroutintreatmentofWM,thecurerateofthecasesofcerebralinfarctioncanberaised.KeyWordsCerebralInfarction;HuangQiInjectio;BloodRheology;SOD近年来，报道应用黄便注射液治疗脑梗死的文献

8、不少，认为西医常规疗法加用黄茂注射液，能明显提高临床疗效(1)。但