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目的:观察中西医结合治疗急性脑梗死的临床疗效及血液流变学、血脂变化。方法:将300例急性脑梗死患者随机分为治疗组与对照组两组,对照组采用西医常规治疗,治疗组在常规治疗上加服中药汤剂及配合针灸治疗。疗程结束后观察两组临床疗效,以及治疗前后血液流变学、血脂变化情况。结果:治疗组总有效率92.7%,对照组总有效率71.3%,两组比较差异有统计学意义(P<0.05),治疗组优于对照组;两组治疗后血液流变学指标血浆黏度、红细胞压积以及血脂指标总胆固醇、甘油三酯均降低,与治疗前比较均有统计学意义(P<0.05)。结论:采用中药配合针灸治疗脑梗死临床疗效显著,并且能降低急性脑梗死患者的血液流变学及血脂指标,值得临床推广。
Objective: To observe the clinical curative effect, hemorheology and blood lipid change of treating acute cerebral infarction with integrated traditional Chinese and western medicine. Methods: A total of 300 patients with acute cerebral infarction were randomly divided into treatment group and control group. The control group was treated with conventional western medicine. The treatment group received traditional Chinese medicine decoction combined with acupuncture treatment. After the end of treatment, the clinical efficacy of the two groups was observed, and the changes of hemorrheology and blood lipid before and after treatment. Results: The total effective rate was 92.7% in the treatment group and 71.3% in the control group, the difference between the two groups was statistically significant (P <0.05), and the treatment group was better than the control group. The hemorheological indexes plasma viscosity , Hematocrit, and total cholesterol, triglyceride, blood lipid indicators were decreased, compared with before treatment were statistically significant (P <0.05). Conclusion: The curative effect of treating cerebral infarction with traditional Chinese medicine and acupuncture is remarkable, and can reduce the hemorheology and blood lipid index in patients with acute cerebral infarction, which is worthy of clinical promotion.