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目的观察中西结合序贯方案治疗出血性中风的临床疗效。方法将83例出血性中风患者随机分为观察组56例,对照组27例,对照组给予基础治疗,观察组在此基础上给予中西医结合序贯方案,包括中药针剂与中药汤剂及针刺,观察两组患者治疗前及治疗第21天的头颅血肿体积,记录两组患者治疗前及治疗后第7、21、42天格拉斯哥昏迷量表评分、中风病积分、神经功能缺损评分、日常生活活动能力量表评分变化。结果观察组能减少血肿体积,改善格拉斯哥昏迷量表评分、中风病积分、神经功能缺损评分、生活能力状况评分,其中第7天格拉斯哥昏迷量表评分、第21天血肿体积、第42天中风病积分、第7天和第42天日常生活活动能力量表评分与对照组比较差异有统计学意义(P<0.05)。结论中西医结合序贯方案治疗出血性中风能够促进患者神志转清,有效促进血肿吸收,减轻神经功能缺损。
Objective To observe the clinical efficacy of sequential Chinese and western combination in the treatment of hemorrhagic stroke. Methods Eighty-three patients with hemorrhagic stroke were randomly divided into observation group (n = 56) and control group (n = 27). The control group received basic treatment. The observation group was given sequential therapy of traditional Chinese medicine and western medicine on the basis of traditional Chinese medicine and western medicine. Thorn, observe the two groups of patients before treatment and 21 days of treatment of cranial hematoma volume, record two groups of patients before treatment and after treatment 7, 21, 42 days Glasgow Coma Scale score, stroke score, neurological deficit score, daily Life activity scale score changes. Results The observation group could reduce the hematoma volume, improve the Glasgow coma scale score, stroke score, neurological deficit score, life status score, including the Glasgow Coma Scale on the 7th day, the hematoma volume on the 21st day, the stroke on the 42nd day Points, daily activities on the 7th day and 42th day were respectively compared with those of the control group (P <0.05). CONCLUSION: The sequential treatment of TCM and WM combined with hemorrhagic stroke can promote conscious consciousness of patients and promote the absorption of hematoma effectively and reduce neurological deficits.