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中西医结合综合方案治疗急性脑梗死的预后评价

杜笑 张秋娟 张红智 施扬

江苏大学学报(医学版)2012,Vol.22Issue(6):523-526,4.
江苏大学学报(医学版)2012,Vol.22Issue(6):523-526,4.

中西医结合综合方案治疗急性脑梗死的预后评价

Prognosis evaluation of integrative medicine on acute period of ischemic stroke

杜笑 1张秋娟 1张红智 1施扬1

作者信息

  • 1. 上海中医药大学附属岳阳中西医结合医院神经内科,上海200437
  • 折叠

摘要

Abstract

Objective: To observe combined traditional and western medicine function of treating acute cerebral infarction. Methods: Adopt a multicenter, randomized, controlled study method. A total of 295 cases patients in 5 hospitals with acute cerebral infarction ( onset > 6 h) were randomly divided into treatment group and control group. Some patients in control group accepted standardizing western medicine treatment and rehabilitation,the others in the experiment group accepted herb, acupuncture, massage,etc. besides western medicine treatment. The two groups accepted 21 days cure for a course of treatment. Count and compare function recovery scale called modified Rankin scores(MRs)in 21 d, 90 d, and 180 d;count and compare independent living ability scale index (BI) in 21 d, 90 d, and 180 d;and observe USA NIH Stroke Scale(NIHSS) score changes in 7 d, 14 d, and 21 d. Results: Therapeutic effectiveness of the treatment group who accepted both Chinese and Western medicine was obvious superior to control group in 180 d (P <0.05). In the 90th and the 180th day, BI scored 85 ratio in treatment group was higher than that in control group (P < 0.05), while the vantage was not obvious in the 21 st day. In the 7th, 14th and the 21 st day, measured NIHSS score of treatment group was better than that of control group (P < 0.05). Conclusion: The combination of traditional Chinese and Western medicine integrated treatment programs could help ischemic stroke patients in recovery of neurological function, could reduce the disabib'ty rate, could improve the ability of daily life of stroke patients.

关键词

缺血性脑卒中/脑梗死/中西医结合/综合治疗

Key words

ischemic stroke/ cerebral infarction/ integrated traditional Chinese and western medicine/ integrative medicine

分类

医药卫生

引用本文复制引用

杜笑,张秋娟,张红智,施扬..中西医结合综合方案治疗急性脑梗死的预后评价[J].江苏大学学报(医学版),2012,22(6):523-526,4.

基金项目

上海市卫生局中医药科研重大资助项目(2006ZD02) (2006ZD02)

江苏大学学报(医学版)

OACSTPCD

1671-7783

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