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1、疏血通治疗缺血性脑血管病40例临床观察【摘要】目的:观察疏血通治疗缺血性脑血管病的疗效。方法:将80例缺血性脑血管病患者随机分为治疗纽•和对照纽•,两纽.均同时应用神经细胞活化剂胞二磷胆碱或脑蛋门水解物等,并根据病情及合并症酌情加用脱水剂、降血糖药、降血脂药或降血压药。治疗纽.应用疏血通注射液6ml加入生理盐水250ml中静脉滴注,1次/d。对照纽用复方丹参注射液12ml,加入生理盐水250ml中静脉滴注,1次/d。两组均以14d为1个疗程。结果:治疗纽.总有效率和显效率分别为90%、70%,对照组总有效
2、率和显效率分别为57.5%、27.5%o两组比较差异有显著统计学意义(x2=16.372,PvO.Ol)。结论:疏血通治疗急性缺血性脑血管病具有独到之处,疗效确切,安全可靠,特别适合基层医院或社区医院开展对急性缺血性脑血管病的治疗,尤其适用于急性缺血性梗死发作超过3h的患者的治疗。【关键词】缺血性脑血管病;疏血通:疗效ClinicalobservationofShuxuetongtreatinganemiccerebrovasculardiseaseLIUQing-hua(OutpatientDepart
3、ment,YanlingHospitalofGuangdongProvince,Guangzhou510507,China)Abstract:ObjectiveToobservethecurativeeffectofShuxuetonginthetreatmentofanemiccerebrovasculardisease・MethodEightypatientsweredividedintothetreatmentgroupandthecontrolgroupramdomly,andthetwogrou
4、pssimultaneouslyappliednervecellactivator,suchasCiticolineSodiumInjectionorCerebroproteinHydrolysateInjectionandsoon.Accordingtotheconditionandthecomplications.dehydrator,hypoglycemicagent,descendensbloodfatdrugsorhypotensivedrugwereadopted・Thetreatmentgr
5、oupappliedShuxuetongInjection(6ml)addingtophysiologicalsaline250ml(iv,qd).ThecontrolgroupappliedCompoundDanshenInjection(12ml)addingtophysiologicalsaline250ml(iv,qd).ResultsThetotaleffectiverateandsignificanteffectiverateinthetreatmentgroupwere90%and70%re
6、spectively,andthatinthecontrolgroupwere57.5%and27.5%・Thedifterencesbetweenthetwogroupsshowedhighlyremarkablesignificance(χ2=l6.372,P<0.01).ConclusionShuxuetongtreatingacutecerebrovasculardiseasehastheadvantagesofaccuratecurativeeffect,sateandreliable.
7、Shuxuetongissuitforbasicunithospitalorcommunityhospitaltotreatacuteanemiccerebrovasculardisease,especiallythepatientswithoutbreakofactueanemiccerebralinfarctionmorethan3hours・KeyWords:Anemiccerebrovasculardisease;Shuxuetong;Curativeeffect我院采用疏血通治疗40例缺血性脑血
8、管病患者,取得满意疗效,现总结报告如下:1资料与方法1.1—般资料:入选患者均为2004年2月〜2007年2月在我院就诊的患者,随机分为两组。其中疏血通治疗组(治疗组)40例,男28例,女12例,年龄55〜80岁,平均(66.0±5.45)岁,治疗前神经功能缺损评分(24.32±6.41)分。对照组40例,男26例,女14例,年龄53〜79岁,平均(63.7+6.15)岁,治疗前神经功能缺损评分(22.75+6.73)分。两组