CAJ | 학술논문

目的：观察中医围攻方案治疗中风病急性期中脏腑闭证的疗效。方法采用前瞻性、多中心、随机平行对照试验方法,将110例中风病急性期中脏腑闭证患者随机分为中医围攻组和对照组各55例。对照组采用西医常规治疗,中医围攻组在此基础上辨证采用低温中药枕、中药灌肠等多种方式相结合的中医围攻方案治疗,疗程4周。比较2组格拉斯哥昏迷评分、因病情变化导致气管切开人数、尿管与鼻饲管拔出时间。结果2组患者治疗前基线资料具有可比性(P＞0.05)。治疗第10、15日,2组清醒人数比较差异有统计学意义(P＜0.05)；中医围攻组气管切开人数少于对照组,尿管与鼻饲管成功拔出时间早于对照组(P＜0.05)。结论中医围攻方案可改善缺血性脑卒中急性期中脏腑患者的意识障碍,减少并发症,更早拔出尿管与鼻饲管,为进一步康复治疗提供保证。
목적：관찰중의위공방안치료중풍병급성기중장부폐증적료효。방법채용전첨성、다중심、수궤평행대조시험방법,장110례중풍병급성기중장부폐증환자수궤분위중의위공조화대조조각55례。대조조채용서의상규치료,중의위공조재차기출상변증채용저온중약침、중약관장등다충방식상결합적중의위공방안치료,료정4주。비교2조격랍사가혼미평분、인병정변화도치기관절개인수、뇨관여비사관발출시간。결과2조환자치료전기선자료구유가비성(P＞0.05)。치료제10、15일,2조청성인수비교차이유통계학의의(P＜0.05)；중의위공조기관절개인수소우대조조,뇨관여비사관성공발출시간조우대조조(P＜0.05)。결론중의위공방안가개선결혈성뇌졸중급성기중장부환자적의식장애,감소병발증,경조발출뇨관여비사관,위진일보강복치료제공보증。
Objective To evaluate the efficacy of siege scheme of TCM for acute cerebral infarction bowel and visceral strike (block pattern). Methods Totally 110 patients were randomly divided into TCM siege scheme group (55 cases) and control group (55 cases) by randomized parallel controlled study with foresight and multicenter. The control group was treated with the standardized treatment, and TCM siege scheme group was treated with TCM siege scheme, including mild hypothermia TCM pillow therapy, TCM rectal enema, and other multiple treatments based on the standardized treatment. The Glasgow Coma Scale (GCS), the time of pulling out urine tube and nasal feeding tube, and the number of tracheotomy caused by illness changes of the two groups were compared. Results The baseline data of two groups have good comparability (P>0.05). On 10, 15 d of treatment, the number of lucid people in the TCM siege scheme group was significantly more than that in the control group (P<0.05). Compared with the control group, treatment group had less number of tracheotomy, and shorter time of success pulling out urine tube and nasogastric feeding tube (P<0.05). Conclusion TCM siege scheme can improve the consciousness of ischemic stroke in patients with acute cerebral infarction bowel and visceral strike, reduce complications, shows shorter successful pull urine tube and nasogastric feeding, and provides guarantee conditions for further rehabilitation treatment.