中西医结合诊治小脑梗死36例临床的研究.doc

中西医结合诊治小脑梗死36例临床研究 【摘要】 目的 观察水龙煎治疗小脑梗死的疗效,并与单纯西药治疗效果比较。方法 选择经颅CT或颅MRI检查确诊的小脑梗死患者67例,按随机数字表法将其分为2组,治疗组36例,对照组31例。对照组用低分子右旋糖苷500 mL静脉点滴,每日1次。治疗组在此基础上加服水龙煎。根据神经功能缺失积分值并结合患者总生活能力对疗效进行评定。结果 67例患者均进入结果分析。治疗组和对照组总有效率分别为83.3%和58.1%,治疗组优于对照组(Plt;0.05),治疗后症状、体征改变所需时间均短于对照组(Plt;0.05～0.01)。结论 水龙煎对于小脑梗死具有较好的治疗作用,优于单纯西药治疗。 【关键词】 小脑梗死；共济失调；中西医结合疗法；水龙煎 Abstract：Objective To observe the efficacy of Shuilongjian in treating cerebellar infarction, and compare with the pure western medicine. Methods 67 inpatients with cerebellar infarction enrolled were divided into two groups according to the method of random digits table, 36 cases in the treatment group and 31 cases in the control group. The control group was given 500 mL dextran by venoclysis, once a day. The treatment group was given Shuilongjian as an additional drug. The therapeutic effect was evaluated according to the nerve function and the total capability in dealing with daily activities. Result All the 67 cases of cerebellar infarction were included in the analysis. The effective rate of the treatment group was better than that of control group with 83.3% and 58.1% (Plt;0.05). The time of the improvement of the symptoms and signs of treatment group was shorter than that of the control group (Plt;0.05～0.01). Conclusion Shuilongjian is effective on cerebellar infarction. It is better than the pure western medicine. 　　Key words：cerebellar infarction； ataxia；combined treatment of western medicine and TCM；Shuilongjian 小脑梗死因发病急、临床表现复杂、缺乏特异性的症状和体征,易被继发的脑干损害症状所掩盖,极易发生误诊。临床表现主要为眩晕、小脑性共济失调。笔者采用水龙煎治疗小脑梗死取得了比较满意的疗效。现对本院2000年1月－2006年8月收治小脑梗死67例的临床资料进行分析如下。 　　1 资料与方法 　　1.1 病例选择 2000年1月－2006年8月在本院脑血管病区住院的小脑梗死患者67例,均经颅CT或颅MRI检查确诊 [1],且对治疗方案知情同意。排除标准：急性出血性脑血管病。按随机数字表法分为2组：治疗组36例,对照组31例。 　　1.2 一般资料 　　入选的67例小脑梗死患者中,男39例,女28例,年龄46～72岁,平均60岁。既往有高血压病41例(61.2%),脑血栓形成14例(20.8%),糖尿病35例(52.2%),心脏病23例(34.3%),其中3例有心律失常。一侧小脑半球梗死53例,两侧小脑半球梗死1例,小脑蚓部梗死9例,小脑半球和蚓部梗死2例,合并大脑枕叶梗死2例。 　　1.3 临床表现 　　主要为眩晕、小脑性共济失调。静息状态下起病49例,活动时起病18例。67例均以眩晕为首发症状,伴恶心、呕吐起病；其