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
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.
收稿日期: 2012-10-13
基金资助:
上海市卫生局中医药科研重大资助项目(2006ZD02)
作者简介: 杜笑(1984—),女,江苏扬中人,住院医师,主要从事脑卒中的中西医结合治疗的研究。
引用本文:
杜笑,张秋娟,张红智,施扬. 中西医结合综合方案治疗急性脑梗死的预后评价[J]. 江苏大学学报:医学版, 2012, 22(6): 523-526.
DU Xiao, ZHANG Qiu-juan, ZHANG Hong-zhi,SHI Yang. Prognosis evaluation of integrative medicine on acute period of ischemic stroke. Journal of Jiangsu University(Medicine Edition), 2012, 22(6): 523-526.