中国医药科学
中國醫藥科學
중국의약과학
CHINA MEDICINE AND PHARMACY
2014年
12期
88-90
,共3页
中西医结合%分期%分时段分型%辨证治疗%脑梗死
中西醫結閤%分期%分時段分型%辨證治療%腦梗死
중서의결합%분기%분시단분형%변증치료%뇌경사
Integrative medicine%Staging%Time-phasing and typing%Dialectical treatment%Cerebral infarction
目的：探讨中西医结合分期分时段分型辨证治疗脑梗死的临床疗效。方法选取2012年6月～2013年9月在我院就诊的脑梗死患者85例，随机分为研究组43例及对照组42例，两组均使用中西医结合治疗，研究组在此基础上采用分期分时段分型辨证治疗。对两组患者的临床疗效及治疗前后的中医病类诊断计分、神经功能缺损评分进行比较。结果研究组总有效率为93.03%，明显高于对照组的78.57%，两组比较差异具有统计学意义（P＜0.05）；治疗前比较两组患者的神经功能缺损评分及中医病类诊断评分，差异无统计学意义（P＞0.05）；治疗后两项评分显著低于对照组（P＜0.05）。结论中西医结合分期分时段分型辨证治疗脑梗死临床疗效显著，值得在临床推广应用。
目的：探討中西醫結閤分期分時段分型辨證治療腦梗死的臨床療效。方法選取2012年6月～2013年9月在我院就診的腦梗死患者85例，隨機分為研究組43例及對照組42例，兩組均使用中西醫結閤治療，研究組在此基礎上採用分期分時段分型辨證治療。對兩組患者的臨床療效及治療前後的中醫病類診斷計分、神經功能缺損評分進行比較。結果研究組總有效率為93.03%，明顯高于對照組的78.57%，兩組比較差異具有統計學意義（P＜0.05）；治療前比較兩組患者的神經功能缺損評分及中醫病類診斷評分，差異無統計學意義（P＞0.05）；治療後兩項評分顯著低于對照組（P＜0.05）。結論中西醫結閤分期分時段分型辨證治療腦梗死臨床療效顯著，值得在臨床推廣應用。
목적：탐토중서의결합분기분시단분형변증치료뇌경사적림상료효。방법선취2012년6월～2013년9월재아원취진적뇌경사환자85례，수궤분위연구조43례급대조조42례，량조균사용중서의결합치료，연구조재차기출상채용분기분시단분형변증치료。대량조환자적림상료효급치료전후적중의병류진단계분、신경공능결손평분진행비교。결과연구조총유효솔위93.03%，명현고우대조조적78.57%，량조비교차이구유통계학의의（P＜0.05）；치료전비교량조환자적신경공능결손평분급중의병류진단평분，차이무통계학의의（P＞0.05）；치료후량항평분현저저우대조조（P＜0.05）。결론중서의결합분기분시단분형변증치료뇌경사림상료효현저，치득재림상추엄응용。
Objective To investigate the clinical efficacy of integrative medicine in the staging, time-phasing and typing dialectical treatment of cerebral infarction. Methods Eighty-five patients with cerebral infarction who were treated in our hospital from June 2012 to September 2013 were selected and randomly divided into the study group with 43 patients and the control group with 42 patients. Both groups received integrative medicine treatment, on the basis of which the study group also received staging, time-phasing and typing dialectical treatment. The clinical efficacy and the pre-treatment and post-treatment Chinese medicine disease type diagnostic scores and neurologic impairment scores of the two groups were compared. Results The total effective rate of the study group was 93.03%, which was significantly higher than the 78.57% of the control group, with significant difference between the two groups (P<0.05); Before the treatment, the two groups of patients were not significantly different in the neurologic impairment score and Chinese medicine disease type diagnostic score (P>0.05);After the treatment, the study group was significantly lower than the control group in the scores of the two items (P<0.05). Conclusion In the treatment of cerebral infarction, staging, time-phasing and typing dialectical Chinese medicine treatment shows remarkable efficacy and thus is worthy of clinical promotion and application.
