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目的:探讨加味温胆汤联合依达拉奉治疗急性后循环脑梗死的效果。方法:选取2013年1月至2015年1月本院收治的80例急性后循环脑梗死患者为研究对象,应用随机数字表法将患者分为观察组和对照组,对照组给予脑梗死常规治疗;观察组则在对照组基础上加用加味温胆汤联合依达拉奉治疗。比较两组患者治疗前后急性后循环脑梗死脑水肿情况及其治疗效果。结果:入院时,两组患者的脑水肿情况比较,差异无统计学意义(P>0.05),治疗14 d后,观察组患者无脑水肿26例,对照组16例;血肿、脑室受压、中线移位有1例,对照组有5例,观察组的水肿恢复情况明显优于对照组,差异具有统计学意义(P<0.05)。观察组的总有效率为92.50%,对照组为70.00%,观察组的治疗效果明显优于对照组,差异具有统计学意义(P<0.05)。结论:加味温胆汤联合依达拉奉能有效改善急性后循环脑梗死患者的脑水肿情况,提高治疗效果。
Objective: To investigate the effect of Jiawewendan Decoction combined with edaravone in treatment of acute posterior circulation cerebral infarction. Methods: From January 2013 to January 2015 in our hospital, 80 patients with acute posterior circulation cerebral infarction were selected as study subjects. The patients were divided into observation group and control group by random number table method. The control group was given conventional treatment of cerebral infarction ; Observation group was added on the basis of the control group plus Wendan Tang combined edaravone treatment. The cerebral edema in acute posterior circulation cerebral infarction and its therapeutic effect were compared between the two groups before and after treatment. Results: At admission, there was no significant difference in cerebral edema between the two groups (P> 0.05). After 14 days of treatment, there were no cerebral edema in 26 cases in the observation group and 16 cases in the control group. The hematoma, ventricular compression, One case of midline shift, five cases of control group, the observation group edema was significantly better than the control group, the difference was statistically significant (P <0.05). The total effective rate was 92.50% in the observation group and 70.00% in the control group. The therapeutic effect in the observation group was significantly better than that in the control group, with statistical significance (P <0.05). Conclusion: Modified Wendan Decoction combined with edaravone can effectively improve cerebral edema in patients with acute posterior circulation cerebral infarction and improve the therapeutic effect.