| OBJECTIVECerebral infarction(cerebral infarction,CI) or ischemic stroke(cerebral ischemic stroke,CIS),refers to the local blood supply to the brain barrier,causing the blood supply to ischemic areas,lack of oxygen resulted in focal ischemic brain tissue necrosis,softening.Cerebral infarction accounted for about 80%of all stroke for clinical diseases,frequently-occurring disease with high mortality and high disability. Clinical observation of the subject aimed at the basis of arterial thrombolytic therapy for acute cerebral infarction and the effect on the symptoms of the impact of the evolution observed in order to attempt to sum up,symptoms of acute cerebral infarction into the evolution of the law,as well as between arterial thrombolysis relationship for the future provide the basis for clinical treatment.METHODA total of 40 cases studied,in accordance with the wishes of patients or their families are divided into 2 groups,the treatment group immediately interventional arterial thrombolytic therapy,followed by conventional treatment of cerebral infarction in the control group of patients with conventional treatment directly.Before treatment and after treatment 1,3,5,7,14-day visit as a point of view to observe the signs and symptoms of TCM syndrome score,physical examination and NIHSS score, as well as indicators of safety.Chinese medicine practitioners to observe the evolution of the syndrome..RESULTTwo groups of patients when the incidence of sex,age,neurologic impairment, physical and chemical indicators,such as traditional Chinese medicine symptom score compared by statistical analysis,no significant difference,p>0.05,comparable.The main symptoms in hemiplegia(P <0.05),tongue language Jian-Qiang(P <0.05) 2 points of the change in the 2 groups to compare the existence of significant difference in the treatment group 2 patients with symptoms of this improvement is better than the control group.Minor symptoms in the 2 groups after treatment to improve the difference was not obvious,the other 2 groups to compare the symptoms were not statistically significant.Treatment group and control group patients the main points of Chinese medicine were integral to reduce the time before treatment,and with statistical significance,p <0.05.Total score were compared before and after treatment,with a statistically significant difference,p <0.05,treatment group,total point is less than the control group.From the beginning 1 day after treatment,the treatment group of patients with neurological deficit score that is lower than the control group,two groups with statistical significance(P <0.05).The total effective rate:80 percent for treatment group,50 percent for the control group,the difference between the two groups have the effect of statistical significance,p <0.05,treatment group than the control group.Changes in the syndrome:treatment within 14 days,the wind in the two groups of patients with evidence disappear,and 0 percent,the highest frequency of blood evidence,was 100%,six patients with evidence-based frequency of occurrence in the two groups were not statistically significant.In all 40 cases of patients 14 days after the certification of all 34 cases of the disappearance of the wind and Qi deficiency before treatment by the eight cases to 0 cases of fire evidence from 22 cases of pre-treatment of nine cases to the above changes were statistically significant.The other three changes in a single syndrome do not have statistically significant evidence in the treatment of blood before and after the emergence of the frequency of all 100%. Will be two groups of patients before and after treatment with the efficacy of a single syndrome to compare the relationship,the existence of sputum for evidence of differentiation and blood and wind of patients with evidence,the efficacy of the treatment group than the control group,with statistical significance.The other three in the comparison syndrome do not have statistical difference. CONCLUSIONEfficacy of the treatment group in the main indicators and to improve the neurological deficits are obviously better than the control group,but in Chinese medicine to improve the symptoms of the system was not satisfactory.Cerebral infarction in the ultra-early and more evidence-based,and deficiency and folders,with the course of the development of empirical gradually decreased,especially in the most obvious evidence is based on the wind;Deficiency,in particular,to increase the Qi-deficiency,and blood evidence has been there from the onset.This is the conclusion of the study and the literature are similar.The evolution of other syndrome has little effect on the treatment group changes in patients with syndrome of acute cerebral infarction in line with the overall evolution syndrome. |
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