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目的探讨中西医结合治疗缺血性脑卒中的临床疗效。方法选取四川省第二中医医院2015年1月—2016年3月收治的缺血性脑卒中患者120例,将患者随机分成对照组与观察组,各60例。对照组患者给予西医治疗,观察组在对照组基础上给予中药和针灸治疗,两组患者均连续治疗1个月。比较两组患者临床疗效、治疗前后神经功能缺损评分、治疗后日常生活能力量表(ADL)评分及不良反应发生情况。结果观察组患者临床疗效优于对照组(P<0.05)。治疗前两组患者神经功能缺损评分比较,差异无统计学意义(P>0.05);治疗后15 d、30 d观察组患者神经功能缺损评分低于对照组,ADL评分高于对照组(P<0.05)。两组患者治疗期间均未发生严重不良反应。结论中西医结合治疗缺血性脑卒中的临床疗效确切,可有效改善患者神经功能缺损程度,提升生活活动能力,改善预后与生存质量。
Objective To explore the clinical efficacy of integrated traditional Chinese and western medicine in the treatment of ischemic stroke. Methods A total of 120 ischemic stroke patients were selected from the Second Hospital of Traditional Chinese Medicine of Sichuan Province from January 2015 to March 2016. The patients were randomly divided into control group and observation group with 60 cases each. The patients in the control group were treated with western medicine. The observation group was treated with traditional Chinese medicine and acupuncture on the basis of the control group. Both groups were treated continuously for 1 month. The clinical efficacy, neurological deficit scores before and after treatment, ADL score and adverse reactions were compared between the two groups. Results The clinical efficacy of the observation group was better than that of the control group (P <0.05). There was no significant difference in neurological deficit score between the two groups before treatment (P> 0.05). The score of neurological deficit in the observation group was lower than that of the control group on the 15th and 30th day after treatment, and the ADL score was higher than that of the control group (P < 0.05). Two groups of patients during the treatment did not occur serious adverse reactions. Conclusion The clinical curative effect of integrated traditional Chinese and western medicine in the treatment of ischemic stroke is exact, which can effectively improve the degree of neurological deficit, improve the living activities and improve the prognosis and quality of life.