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| Prognosis evaluation of integrative medicine on acute period of ischemic stroke |
| DU Xiao, ZHANG Qiu-juan, ZHANG Hong-zhi，SHI Yang |
| Department of Neurology, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine，Shanghai University of Traditional Chinese Medicine, Shanghai 200437, China |
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Abstract [Abstract] Objective: To observe combined traditional and western medicine function of treating acute cerebral infarction. Methods: Adopt a multicenter, randomized, controlled study method. A total of 295 cases patients in 5 hospitals with acute cerebral infarction (onset>6 h) were randomly divided into treatment group and control group.Some patients in control group accepted standardizing western medicine treatment and rehabilitation,the others in the experiment group accepted herb, acupuncture, massage,etc. besides western medicine treatment. The two groups accepted 21 days cure for a course of treatment. Count and compare function recovery scale called modified Rankin scores(MRs)in 21 d, 90 d, and 180 d;count and compare independent living ability scale index(BI)in 21 d, 90 d, and 180 d;and observe USA NIH Stroke Scale(NIHSS)score changes in 7 d, 14 d, and 21 d. Results: Therapeutic effectiveness of the treatment group who accepted both Chinese and Western medicine was obvious superior to control group in 180 d(P＜0.05).In the 90th and the 180th day, BI score≥ 85 ratio in treatment group was higher than that in control group(P＜0.05), while the vantage was not obvious in the 21st day. In the 7th, 14th and the 21st day, measured NIHSS score of treatment group was better than that of control group (P＜0.05). Conclusion: The combination of traditional Chinese and Western medicine integrated treatment programs could help ischemic stroke patients in recovery of neurological function, could reduce the disability rate, could improve the ability of daily life of stroke patients.
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Received: 13 October 2012
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| [1] 中华神经内科学会,中华神经外科学会.各类脑血管疾病诊断要点[J].中华神经科杂志,1996,29(6):379-380.[2] 国家中医药管理局脑病急症协作组.中风病诊断与疗效评定标准(试行)[J].北京中医药大学学报,1996,9(1):55-56.[3] 中华医学会神经病学分会脑血管病学组急性缺血性脑卒中诊治指南撰写组.中国急性缺血性脑卒中诊治指南2010[J].中华神经科杂志,2010,43(2):1-8.[4] 李俊,叶烨,兰万成.益气活血法治疗急性缺血性中风的古代认识与现代研究[J].中国中医急症,2006,15(10):1150-1151.[5] 肖寒.中医药在中风早期康复治疗中的应用[J].辽宁中医杂志,2005,32(2):172-173.[6] 周俊英,刘柳,罗祖明.疏血通注射液对大鼠脑缺血耐受作用及神经生长因子表达的影响[J].中国中药杂志,2006,31(11):943-944.[7] 李可建.补阳还五汤及其中成药治疗缺血性中风急性期随机对照试验的系统评价[J] .中成药,2006,28(1):58-62.[8] 熊杰,李亚东,张纬,等.醒脑开窍针刺法对脑梗死患者神经功能缺损改变的动态观察[J] .山西中医,2006,22(2):33-35．[9] 俞昌德,吴炳煌,张晶,等.颅针与头针对急性脑梗死患者血清血管内皮生长因子影响的观察[J].中国针灸,2006,7:466-468.[10] 隽陶,齐瑞,房敏,等.中风分期综合康复治疗方案[J].中国康复医学杂志,2006,21(5):455-456.[11] 张世洪,吴波,谈颂,等.卒中登记研究中Barthel指数和改良Rankin量表的运用性与相关性研究\[J\].中国循证医学杂志,2004,4(12):871-874.[12] 陈光辉.2004年脑血管病研究进展[J].国外医学:脑血管疾病分册,2005,13(4):261-273.[13] 张军,黄燕.中医综合治疗方案对急性缺血性中风急性期NIHSS评分影响的研究[J]. 辽宁中医杂志,2009,36(5):678-681.[14] 甄晓敏,张云云,薛猛.中西医结合综合方案治疗急性缺血性脑卒中的疗效观察[J]. 上海中医药大学学报,2011,25(4):55-59.[15] 王大力,彭延波,邢磊.NIHSS评分在急性脑梗死患者中的应用与回归方程的建立[J]. 华北煤炭医学院学报,2007,9(3):297-298.[16] 张红智,汪涛,张云云,等.脑卒中恢复期干预措施研究近况[J]. 神经病学与神经康复杂志,2009,6(3):241-245. |
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2012, Vol. 22 
