针灸配合血栓通注射液治疗缺血性脑血管病恢复期的临床研究(1)
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[摘要] 目的：观察针灸配合血栓通注射液对缺血性脑血管病恢复期的临床疗效。方法：将102例缺血性脑血管病恢复期患者随机分为对照组(单纯针灸治疗)和治疗组(针灸配合血栓通注射液)，每组51例。治疗2个疗程(14 d为1个疗程)后，评价两组临床疗效和神经功能缺损程度。结果：治疗组基本治愈9例，显著进步24例，进步12例，无效6例，总有效率为88.2%，明显优于对照组(P<0.05)；与对照组相比，治疗组神经功能缺损程度显著减轻(P<0.05)。结论：针灸配合血栓通注射液能显著减轻缺血性脑血管病恢复期患者神经功能缺损程度，具有明显的临床疗效。
[关键词] 缺血性脑血管疾病；恢复期；血栓通；针灸疗法
[中图分类号] R743.31 [文献标识码] A [文章编号] 1673-7210(2011)11(a)-119-02
Clinical observation of acupuncture combined with Xueshuantong Injection in the treatment of ischemic cerebrovascular disease recovery
HUANG Zhenjun1, ZHANG Lijian1, CHEN Jianxin2
1.The No.309 Hospital of People's Liberation Army, Beijing 100091,China; 2.The No.457 Hospital of People's Liberation Army, Hubei Province, Wuhan 430012, China
[Abstract] Objective: To observe the clinical effects of acupuncture combined with Xueshuantong Injection in the treatment of ischemic cerebrovascular disease recovery. Methods: 102 patients suffered from ischemic cerebrovascular diseases were randomly divided into control group (acupuncture) and treatment group (acupuncture and Xueshuantong Injection), 51 patients in each group. The clinical efficacy and neurologic impairment were assessed at 2 course of treatment (14 d of 1 course), the clinical effects and the degree of neurologic impairment of two group were evaluated. Results: There were 9 cases were basically recovered, 24 cases had obvious effect, 12 cases had effect, and the total effective rate was significantly improved in treatment group than that in control group (P<0.05). The degree of neurologic impairment of treatment group was obviously reduced than that of control group (P<0.05). Conclusion: Acupuncture combined with Xueshuantong Injection can significantly inhibit neurologic impairment and improve the clinical efficacy for patients of ischemic cerebrovascular diseases.
[Key words] Ischemic cerebrovascular disease; Convalescence; Xueshuantong Injection; Acupuncture
缺血性脑血管病(ischemic cerebrovascular disease，ICVD)是由于脑部供血障碍，相应区域缺血、缺氧所引起的脑组织坏死的临床常见病，具有发病率高、致残率高和死亡率高的特点[1]，通常包括短暂性脑缺血发作(TIA)、脑血栓形成、脑栓塞和脑梗死等。脑血管病恢复期生命体征趋于平稳，大多数人认为，此期间若能进行及时有效的治疗，则患者生活能力和生活质量会显著提高，预后较好。缺血性脑血管病属祖国传统医学中的中风，其基本病机为气虚血瘀 ......
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