首页|痰瘀阻络方治疗急性脑梗死大脑中动脉狭窄46例临床观察

痰瘀阻络方治疗急性脑梗死大脑中动脉狭窄46例临床观察

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目的:探讨痰瘀阻络方为主方对大脑中动脉狭窄卒中患者近期、远期疗效的影响.方法:将86例急性缺血性卒中的患者随机分成中药组46例和单纯西药组40例,两组均予常规基础治疗,中药组加用中药方剂,分别于就诊当日,治疗7,14 d及3个月后观察大脑中动脉流速及神经功能缺损变化、生活能力状态等.结果:同组内比较,两组大脑中动脉流速较前均有下降,NIHSS评分较治疗前均有显著下降,同时Barthel指数较前均显著升高,差异有统计学意义(P<0.05);中药组大脑中动脉流速、NIHSS评分、Barthel指数等与单纯西药组比较差异均具有统计学意义(均P<0.05).结论:加用中药组治疗大脑中动脉狭窄的脑梗死患者临床疗效明显优于单西药治疗,大脑中动脉灌注显著改善.
Clinical Observation on Efficacy of Tanyu Zuluo Formula in Treating 46 Acute Stroke Patients with the Middle Cerebral Artery Stenosis.
Objective:To explore the influence on recent and long-term efficacy of Tanyu Zuluo formula in the middle cerebral artery stenosis in acute stroke patients. Method:There were 86 patients with acute is chemic stroke randomly divided into tradition Chinese medicines (TCM) group (46) and western medicine group(40). Both groups were given routine treatment,and in the TCM group,patients also given TCM herbs. The blood flow rate of middle cerebral artery,neurologic impairment and activity of daily living,on the first, seventh,fourteenth and ninetieth day were observed. Result:In booth groups blood flow rate of middle cere-bral artery improved,NIHSS scores decreased,and Barthel indexes increased obviously,with statistical signifi-cance(P<0.05);compared with the western medicine group,the TCM group showed difference on blood flow rate of middle cerebral artery,NIHSS scores and Barthel indexes(P<0.05). Conclusion:Western medicine combined with TCM showed better effect than western medicine alone in treating acute ischemic stroke pa-tients with middle cerebral artery stenosis,for it could significantly improve middle cerebral artery perfusion.

middle cerebral artery stenosisTanyu Zuluo formulablood flow rate

唐晓刚、吴明华

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江苏省中医院,江苏 南京 210029

大脑中动脉狭窄 痰瘀阻络方:血流速度

2017

山东中医杂志
山东中医药学会 山东中医药大学

山东中医杂志

CSTPCD
影响因子:0.431
ISSN:0257-358X
年,卷(期):2017.36(10)
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