To Explore The Clinical Efficacy Of Integrated Traditional Chinese And Western Medicine In The Treatment Of Ischemic Stroke With Phlegm And Blood Stasis

Purpose：Observe curative effect of dynamic change of patients with dynamicchange of disease of phlegm and blood stasis ischemic stroke with Qi deficiencysyndrome treated by integrated traditional Chinese and Western medicine.Usingthe subgroup analysis method to explore which kind of treatment for this diseaseis more suitable.Material and method：Thisisamulti-center，threeblind，blockrandomized，parallel-group trial study.Recruite subjects and screening cases are insub-centers which we selected from14national hospitals.Researchers areinternal medicine physicians or above in neural department，who engaged inChinese medicine or Integrative Medicine Department of Neurology in the varioussub-centers. Qualified subjects randomly assigned by the enrolled order at a1:1ratio.There were120patients in both the test group and the control group.Thetherapies of treatment group included oral proprietary Chinese medicine，Chinesemedicine injection therapy，acupuncture therapy，massage therapy，basic Westernmedicine treatment，modern rehabilitation and routine care. The treatments incontrol group included the basic treatment of Western medicine， modernrehabilitation and routine care.The treatment were completed in4weeks.Byobserving the period of selected, two weeks，four weeks，the follow-up90daysand follow-up90days,compare the differences between trail and control groupson various dimensions of evaluation scale about Syndrome type of Phlegm and bloodstasis with Qi Deficiency in the recovery period，the changes of NIHSS,ADL andMRS score at different time points.Use descriptive statistics，chi-square test，independent sample paired t-test statistical methods to analysis the date.Results：1.Group of western medicine (aspirin)+acupuncture treatment and Westernmedicine alone (aspirin) in treatment of ischemic stroke recovery period of phlegm and blood stasis and Qi deficiency, the curative effect is superior tothe latter on the whole.NIHSS scale, ADL scale, MRS scale at each time pointbetween group differences were not significant (P>0.05).2.Group of Chinese medicine (Hua Tuo zaizao pills, six pills) and WesternMedicine (aspirin)+acupuncture treatment and control group of Western medicinealone (aspirin) in treatment of ischemic stroke recovery period of phlegm andblood stasis and Qi deficiency,the curative effect is superior to the latteron the whole.NIHSS scale, ADL scale, MRS scale at each time point between groupdifferences were no significance (P>0.05).3.Group of Chinese medicine (Hua Tuo zaizao pills, six pills) and WesternMedicine (aspirin)+acupuncture treatment and Western medicine control group(aspirin)+acupuncture treatment of ischemic stroke recovery period of phlegmand blood stasis and Qi deficiency, the curative effect is superior to the latteron the whole.MARS scale for2week with statistical significance.Other visitpoints of NIHSS scale, ADL scale, MRS scale there was no significance (P>0.05).Conclusion：1.Treatment with Western medicine+acupuncture treat ischemic stroke mutualphlegm and blood stasis and Qi deficiency syndrome curative effect could bebetter than pure Western medicine treatment of the disease;2.Treatment with traditional Chinese medicine+Western medicine+acupuncturetreat ischemic stroke mutual phlegm and blood stasis and Qi deficiency syndromecurative effect could be better than pure Western medicine treatment of thedisease;3.Treatment with traditional Chinese medicine+Western medicine+acupuncturetreat ischemic stroke mutual phlegm and blood stasis and Qi deficiency syndromecurative effect could be better than pure Western medicine+acupuncture treatmentof the disease;...