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目的:分析中药解毒化瘀颗粒联合传统西药在60例脑梗塞患者治疗中的疗效,探讨联合治疗与传统治疗的疗效差异。方法:选取2013年3月—2013年10月收治的脑梗塞患者中符合研究需求者30例,按照就诊顺序随机均分为研究组及对照组A、B组。对照组A组采用单纯中药解毒化瘀颗粒治疗,对照组B组采取单纯西药脑啡呔类药物治疗,研究组采用解毒化瘀颗粒联合脑啡呔类药物进行治疗,两组患者均维持用药2~3个疗程,期间密切监测患者状况,根据症状体征改善情况从神经系统、肌力恢复、血流动力学等方面评估用药效果。结果:研究组患者在治疗后神经系统综合疗效、治疗后肌力恢复情况、治疗后血液动力学的变化、CT检测用药疗效的比较等明显优于对照组,两组对比差异显著,P<0.05。经影像学检验及血流动力学改变检测,两组存在显著差异,P<0.05。结论:对于脑梗塞患者,使用中药解毒化瘀颗粒联合传统西药疗法可有效改善症状和体征、更好地保护神经系统功能、不良反应轻微,预后情况好,建议临床推广应用。
Objective: To analyze the curative effect of Jiedu Huayu Granule combined with traditional western medicine in the treatment of 60 patients with cerebral infarction, and to explore the difference between the combined treatment and traditional treatment. Methods: Thirty patients with cerebral infarction who met the research requirements from March 2013 to October 2013 were randomly divided into study group A and group B according to the order of treatment. The control group A group treated with simple Chinese medicine detoxification and blood stasis particles, the control group B group to take a simple Western medicine brain cassia class drug treatment, the study group with detoxification and blood stasis particles combined with brain cassia drugs for treatment, two groups of patients were maintained medication 2 ~ 3 courses of treatment during the close monitoring of patient status, according to the improvement of symptoms and signs from the nervous system, muscle strength recovery, hemodynamic evaluation of drug effects. Results: Compared with the control group, the patients in the study group were significantly better than the control group in the comprehensive efficacy of the nervous system after treatment, muscle strength recovery after treatment, hemodynamic changes after treatment, and the efficacy of CT test. The difference between the two groups was significant (P <0.05) . After imaging examination and hemodynamic changes in detection, there were significant differences between the two groups, P <0.05. Conclusion: For patients with cerebral infarction, the use of traditional Chinese medicine Jiedu Huayu granules combined with traditional western medicine can effectively improve the symptoms and signs, better protect the nervous system function, minor adverse reactions, the prognosis is good, it is recommended clinical application.