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目的观察天麻钩藤饮联合西医常规药物治疗急性脑梗死的临床治疗效果。方法选取滨海新区汉沽中医医院收住院的68例急性脑梗死(风阳上扰型)患者作为研究对象,将患者随机分为两组,各34例,对照组采用脑梗死急性期西医的常规药物治疗,即抑制血小板聚集、调节血压及血脂、降颅压、改善脑供血、改善脑代谢等药物;观察组则在常规西医治疗的基础上口服天麻钩藤饮治疗。结果经治疗2周后,观察组临床总有效率为91.17%,对照组则为79.41%,两组总有效率比较差异有统计学意义(P<0.05)。结论天麻钩藤饮联合西医常规药物治疗急性脑梗死(风阳上扰型)的临床疗效显著,优于单纯常规西医治疗。
Objective To observe the clinical effects of Tianma Gouteng Decoction combined with conventional western medicine in the treatment of acute cerebral infarction. Methods Sixty-eight patients with acute cerebral infarction (wind-yang-Shang-Pei) admitted to Hangu Hospital of Traditional Chinese Medicine in Binhai New Area were selected as study subjects. The patients were randomly divided into two groups, 34 cases in each group. The control group received routine western medicine Treatment, that is, inhibition of platelet aggregation, blood pressure and blood lipid regulation, reducing intracranial pressure, improve blood supply to the brain, improve brain metabolism and other drugs; the observation group was treated on the basis of conventional Western medicine Tianma Goutengyin treatment. Results After 2 weeks of treatment, the total clinical effective rate was 91.17% in the observation group and 79.41% in the control group. There was significant difference between the two groups in total effective rate (P <0.05). Conclusion Tianma Gouteng Decoction combined with conventional Western medicine in the treatment of acute cerebral infarction (wind-yang-type) clinical efficacy was significantly better than the simple routine Western medicine treatment.