| Objective:After the acute anemic stroke patient accepts the Chinese medicine master-plan treatment curative effect appraisal;Appraisal Chinese medicine master-plan to acute anemic stroke case fatality rate, viability influence and security;The appraisal uses curative effect evaluating indicator validity,letter and degree of reaction; Simultaneously appraises when the Chinese medicine master-plan uses in treating the acute anemic stroke,to patient nerve function damage,of physical disabilities and survival quality influence.Methods:Method of treatment:Selects 60 example patients,is my courtyard nerve internal medicine department diagnoses for the acute anemic stroke in hospital patient,divides into the experimental group 30 examples stochastically,the control group 30 examples.Two groups give the foundation treatment(to have bedrest,to maintain respiratory tract are unobstructed,control blood sugar,anti-infection,system acid hematischesis protection stomach mucous membrane,strict monitor condition change stitch in time complication);Voltage dropping treatment;The encephalic high pressure's judgment and processing(give ice pillow,ice hat,selects medicines and so on mannitol,furosemide according to clinical special details to dehydrate treatment);The anti-blood platelet accumulation(the intestines dissolve aspirin 100mg,qd,the oral administration or the nasal feeding,gave the medicine continuously to the revisit conclusion);The early recovery(patient life symptom stable namely starts to carry on recovery training,every week many in 5 times,each time many in 30 minutes).Simultaneously experiments the group to give the oral administration or the nasal feeding stroke agreement side,every day 1 medicinal preparation,daily 2 times,including takes 21 days is a treatment course;The oral administration or nasal feeding Hua Tuo are born again the pill,each time 8g,daily 2 times,including takes 21 days is a treatment course;Lamp bowl asarum inoculation fluid 40ml joins 0.9%physiological saline 250ml,the vein drop note,daily 1 time,the continual vein drop pours for 14 days.The control group gives the oral administration or the nasal feeding traditional Chinese medicine placebo,every day 1 medicinal preparation,daily 2 times,including takes 21 days is a treatment course; Butcher two phosphorus choline inoculation fluid 0.5g joins in 0.9% physiological saline 250ml,vein drop note,daily 1 time,the continual vein drop pours for 14 days.Observation target:After before two group of patients treat,and the treatment,7th day,14 days,the 21 23 day,after as well as revisit stage morbidity,60th gentleman 3 days,90 gentleman 3 days,the observation symptom,carries on nerve function grading and the Chinese medicine symptom, symptom grading,around the treatment carries on hematuria excrement convention,the hepatorenal function(ALT,AST,BUN,Cr),the electrocardiogram,the hemoglutination function(zymoplasm time, zymoplasm original time,zymoplasm original time standardization ratio, part activation thrombokinase time)to examine.Statistical method:The measurement material uses((?)±s),the counting material uses the chi-square test,during two groups compares uses the T-test.Finally:1.clinical curative effect comparison:The experimental group convalesces basically 7 examples,Shows results 15 examples,progresses 7 examples,invalid 1 example,total effectiveness 96.7%;The control group convalesces basically 4 examples,shows results 11 examples,progresses 10 examples,invalid 5 examples,total effectiveness 83.3%.After statistics analysis,the experimental group and the control group cure rate have the very remarkable difference sum of with obviously the efficiency (P＜0.05).2.Chinese medicine card period of five days curative effect comparison: The experimental group convalesces basically 7 examples,shows results 15 examples,effective 6 examples,invalid 2 examples,total effectiveness 93.3%;The control group convalesces basically 3 examples,shows results 12 examples,the effective 8 examples,the invalid 7 examples,the total effectiveness 76.7%,have the significance difference after statistics analysis(P＜0.05).3.Chinese medicine cardinal symptoms,symptom curative effect comparison:Before the experimental group and the control group two groups of cases treats,the Chinese medicine cardinal symptoms,the symptom curative effect after statistics processing,the difference does not have the significance(P＞0.05).After the treatment,before treats,has the remarkable improvement(P＜0.05).4.NIHSS integral and mRS integral comparison:Before two groups of cases treat,nerve function damage degree grading and the mRS grading after statistics processing,the difference do not have the significance(P＞0.05), after the treatment,before treats,has the remarkable improvement(P＜0.05).5.Untoward effect and poisonous side effect:Experimental group and control group in clinical trial period,has not presented the obvious untoward effect and the poisonous side effect.Two group of laboratory check result(three big conventions,hepatorenal function,hemoglutination function)have not appeared around the treatment with the treatment related unusual change.Conclusion:The findings indicated:The experimental group Chinese medicine complex therapy plan treatment acute anemic stroke curative effect affirmed that surpasses the control group complex therapy plan.Thought that the Chinese medicine master-plan has the improvement brain blood supply effect, passes the collateral circulation again to the acute anemic stroke patient's blood vessel the establishment,the nerve function network reconstruction,has the vital role.And may reduce crippling rate,enhances the patient to survive the quality.Meanwhile under the Chinese medicine theory's instruction,the establishment both conforms to the Chinese medicine clinical practice and to follow the modern clinical medicine research technique the Chinese medicine clinical curative effect appraisal system,thus appraises the Chinese medicine objectively the clinical curative effect,provides the ideal therapeutic schedule for the acute anemic stroke patient. |
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