中医临床研究
中醫臨床研究
중의림상연구
CLINICAL JOURNAL OF CHINESE MEDICINE
2013年
5期
71-72
,共2页
泄热汤%中枢性高热%大面积脑梗死%中西医结合%随机对照研究
洩熱湯%中樞性高熱%大麵積腦梗死%中西醫結閤%隨機對照研究
설열탕%중추성고열%대면적뇌경사%중서의결합%수궤대조연구
Xiere decoction%Central high fever%A large area of cerebral infarction%The integrative medicine%Randomized controlled trial
目的:观察泄热汤保留灌肠联合西医治疗大面积脑梗死并发中枢性高热疗效.方法:使用对照研究方法,入选60例并发中枢性高热的大面积脑梗死患者随机分为两组,治疗组30例,自拟泄热汤(大黄30g,芒硝20g,冰片1g,黄芩10g,黄连10g,黄柏20g,栀子30g,金银花30g,连翘30g,知母20g,麦冬30g,甘草20g.)联合西医治疗(同对照组);对照组30例,西医治疗:①持续亚低温治疗仪降温.②应用镇静药物:如冬眠灵.结果:治疗组降温时间短,平均清醒时间短,神经功能缺损评分明显优对照组,治疗组临床疗效优对照组(P<0.05).结论:泄热汤灌肠联合西医治疗大面积脑梗死发生中枢性高热,具有退热时间短、患者恢复快、无毒副作用等优点,值得临床进一步研究并推广应用.
目的:觀察洩熱湯保留灌腸聯閤西醫治療大麵積腦梗死併髮中樞性高熱療效.方法:使用對照研究方法,入選60例併髮中樞性高熱的大麵積腦梗死患者隨機分為兩組,治療組30例,自擬洩熱湯(大黃30g,芒硝20g,冰片1g,黃芩10g,黃連10g,黃柏20g,梔子30g,金銀花30g,連翹30g,知母20g,麥鼕30g,甘草20g.)聯閤西醫治療(同對照組);對照組30例,西醫治療:①持續亞低溫治療儀降溫.②應用鎮靜藥物:如鼕眠靈.結果:治療組降溫時間短,平均清醒時間短,神經功能缺損評分明顯優對照組,治療組臨床療效優對照組(P<0.05).結論:洩熱湯灌腸聯閤西醫治療大麵積腦梗死髮生中樞性高熱,具有退熱時間短、患者恢複快、無毒副作用等優點,值得臨床進一步研究併推廣應用.
목적:관찰설열탕보류관장연합서의치료대면적뇌경사병발중추성고열료효.방법:사용대조연구방법,입선60례병발중추성고열적대면적뇌경사환자수궤분위량조,치료조30례,자의설열탕(대황30g,망초20g,빙편1g,황금10g,황련10g,황백20g,치자30g,금은화30g,련교30g,지모20g,맥동30g,감초20g.)연합서의치료(동대조조);대조조30례,서의치료:①지속아저온치료의강온.②응용진정약물:여동면령.결과:치료조강온시간단,평균청성시간단,신경공능결손평분명현우대조조,치료조림상료효우대조조(P<0.05).결론:설열탕관장연합서의치료대면적뇌경사발생중추성고열,구유퇴열시간단、환자회복쾌、무독부작용등우점,치득림상진일보연구병추엄응용.
Objective:To investigate the curative effect of retention enema with Xiere decoction plus modern medicine on treating large area of cerebral infarction complicated with central high fever. Method:60 patients with large area of cerebral infarction complicated with central high fever were randomly divided into two groups, 30 in each group. The treatment group was given self-made Xiere decoction plus modern medicine. The control group was given only modern medicine. Results:The cooling time of the treatment group was shorter, the time of the average recovery was shorter and the neural function defect score were significantly better. The treatment group were better than the control group (P<0.05). Conclusion: Retention enema with Xiere decoction plus modern medicine had so many advantages, including short cooling time, fast recovery, no toxic side effects and other advantages. It is worthy of further clinical research and application.
