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目的:探讨中药汤剂结合补液防治缺血性脑卒中的临床疗效。方法:将缺血性脑卒中患者120例随机分为中药汤剂组、血塞通分散片组、复方丹参片组。三组治疗期间同时给予肠溶阿司匹林75 mg口服,每晚1次,静脉点滴胞二磷胆碱等。分别在治疗后3 d、7 d、15 d,1个月,6个月,1年观察疗效。结果:中药汤剂组有效率为87.5%,明显高于血塞通分散片组77.5%和复方丹参片组70.0%;且1年后脑卒中复发率中药汤剂组2.5%,明显低于血塞通分散片组5%和复方丹参片组10%。结论:中药汤剂具有良好的治疗缺血性脑卒中的作用,且能防止脑卒中的复发。
Objective: To investigate the clinical efficacy of decoction combined with rehydration in prevention and treatment of ischemic stroke. Methods: 120 cases of ischemic stroke patients were randomly divided into traditional Chinese medicine decoction group, Xuesaitong dispersible tablets group, compound Danshen tablet group. The three groups were treated with enteric-coated aspirin 75 mg orally, once per night during the treatment period, intravenous citicoline and the like. The therapeutic effects were observed at 3 d, 7 d, 15 d, 1 month, 6 months and 1 year after treatment. Results: The effective rate of Decoction group was 87.5%, which was significantly higher than that of Xuesaitong Dispersible Tablet group and 77.0% of Compound Danshen Tablet group. The recurrence rate of Stroke after 1 year was 2.5% Disperse tablets group 5% and compound Danshen tablets group 10%. Conclusion: Chinese medicine decoction has a good effect on treating ischemic stroke and can prevent the recurrence of stroke.