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目的探讨中西医结合综合治疗方案对急性脑出血患者日常生活能力(ADL)及生存质量(QOL)的影响。方法采用多中心、单盲随机对照试验的设计方法,404例患者分别用中西医结合综合(试验组199例)和西医加中药安慰剂(对照组205例)治疗。在28d、3个月分别进行生活能力状态(Ability diary of life,ADL)、日常生活活动量表(BartherIndex,BI)、生存质量(包括Quality of life Index,QLI、Functional Activities Question-naire,FAQ)等指标评定。结果治疗后28d试验组的QLI、FAQ评分改善优于对照组(P<0.05),ADL评分、BI分级两组比较,差异无统计学意义(P>0.05)。治疗后3个月试验组在ADL评分、BI分级、QLI及FAQ评分改善均优于对照组(P<0.01)。结论中西医结合综合治疗能改善急性脑出血患者残障情况、提高生存质量。
Objective To explore the effect of integrated traditional Chinese and western medicine on ADL and QOL in patients with acute cerebral hemorrhage. METHODS: A multicenter, single-blind randomized controlled trial was designed. One hundred and forty-four patients were treated with combination of TCM and Western medicine (199 cases in trial group) and western medicine plus placebo in Chinese group (205 cases in control group). Performance diary of life (ADL), Barthel Index (BI), quality of life (QLI, Functional Activities Question-naire, FAQ) And other indicators of assessment. Results The improvement of QLI and FAQ scores of the experimental group on 28th day after treatment were better than those of the control group (P <0.05). There was no significant difference between the two groups in ADL score and BI grade (P> 0.05). Three months after treatment, the improvement of ADL score, BI grade, QLI and FAQ score were better in the experimental group than in the control group (P <0.01). Conclusion Integrated traditional Chinese and Western medicine can improve the disability and improve the quality of life in patients with acute cerebral hemorrhage.