CAJ | 학술논문

目的观察中西医结合治疗脑卒中后遗症的疗效.方法 120例脑卒中后遗症患者按数字表法随机分为两组,对照组60例,治疗组60例,对照组采用西药治疗,治疗组在对照组治疗的基础上根据中医辩证加用中药治疗,观察治疗前后神经功能缺损评分(Fugl-Meyer评分和Barthel指数).结果治疗后,对照组基本治愈11例、显著进步21例、进步19例、无变化6例、恶化3例、总有效率为85.0％,治疗组分别为14例、22例、22例、1例、1例、96.7％,两组总有效率差异有统计学意义(x2=4.904,P ＜0.05).两组治疗后Barthel指数和Fugl-Meyer值均有明显升高(t=9.1823、13.7645、6.5536、9.7977,均P＜0.01),且治疗组提高更明显(=1.9440、2.7204,均P＜0.05).结论中西医结合治疗可明显改善脑卒中后遗症患者的预后.
목적 관찰중서의결합치료뇌졸중후유증적료효.방법 120례뇌졸중후유증환자안수자표법수궤분위량조,대조조60례,치료조60례,대조조채용서약치료,치료조재대조조치료적기출상근거중의변증가용중약치료,관찰치료전후신경공능결손평분(Fugl-Meyer평분화Barthel지수).결과 치료후,대조조기본치유11례、현저진보21례、진보19례、무변화6례、악화3례、총유효솔위85.0％,치료조분별위14례、22례、22례、1례、1례、96.7％,량조총유효솔차이유통계학의의(x2=4.904,P ＜0.05).량조치료후Barthel지수화Fugl-Meyer치균유명현승고(t=9.1823、13.7645、6.5536、9.7977,균P＜0.01),차치료조제고경명현(=1.9440、2.7204,균P＜0.05).결론 중서의결합치료가명현개선뇌졸중후유증환자적예후.
Objective To study the effect of combined treatment of traditional Chinese medicine(TCM) and western medicine on sequelae of stroke.Methods 120 patients with sequelae of stroke were randomly divided into two groups,the control group(n =60 cases) and the treatment group(n =60 cases).The patients in the control group were treated by western medicine,while the patients in the treatment group were treated by TCM and western medicine.The neural function defect score of two groups was compared after treatment (Fugl-eyer and Barthel).Results The total effective rate was 85.0％ in the control group and 96.7％ in the treatment group.There was significant difference between the two groups (x2 =4.9041,P ＜ 0.05).Fugl-eyer and Barthel were all improved aftertreatment in both groups(t =9.1823,13.7645,6.5536,9.7977,all P ＜ 0.01).There were significant differences between the two groups (t =1.9440,2.7204,all P ＜ 0.05).Conclusion Combined treatment of TCM and western medicine can significantly improve the prognosis of patients with sequelae of stroke.