从毒瘀学说论治急性缺血性脑中风临床观察
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摘要
目的观察急性缺血性中风从毒、瘀论治对白细胞总数(WBC)、C-反应蛋白(CRP)和血沉(ESR)的影响与临床疗效。方法 60例急性缺血性脑中风患者按随机数字表法分为对照组和观察组各30例,对照组患者接受常规西医治疗,观察组患者在对照组的基础上加服解毒化瘀汤,治疗前及治疗2周进行NIHSS评分,测定白细胞总数(WBC)、C-反应蛋白(CRP)和血沉(ESR)。结果治疗2周后2组患者NIHSS评分、患者血清WBC、CRP和ESR水平均有降低(P<0.05),且降低幅度观察组优于对照组(P<0.05);观察组总有效率90%,明显优于对照组的76.7%(P<0.05)。结论解毒化瘀汤能协助降低患者的NIHSS评分同时降低患者血清WBC、CRP和ESR水平,促进患者神经功能恢复,减少急性缺血性中风的并发症的发生。
Objective:To observe the influence and clinical effect of acute ischemic cerebral stroke patients on leukocyte count(WBC),C-reactive protein(CRP)and erythrocyte sedimentation rate(ESR)from the theory of toxic-stasis. Methods:60 patients with acute ischemic cerebral stroke were divided into a control group and an observation group according to the random number table method,30 cases per group. The control group received conventional western medicine treatment and the observation group were given detoxification and decoction for detoxication and activating blood stasis on the basis of the control group. Before treatment and after 2-week treatment,NIHSS scores of the patients in the two groups were taken and their total WBC,CRP,and ESR were determined. Results:After 2-week treatment,the NIHSS scores,serum WBC,CRP and ESR levels in the two groups were decreased(P<0.05),and the reduction extent of the observation group was better than that of the control group(P<0.05). The total effective rate of the observation group was 90 %,significantly better than that(76.7%)of the control group(P<0.05). Conclusion:The decoction for detoxication and activating blood stasis can help reduce the NIHSS score of patients and reduce the serum WBC,CRP and ESR levels at the same time,thus promoting the recovery of neurological function and reducing the complications of acute ischemic cerebral stroke.
Objective:To observe the influence and clinical effect of acute ischemic cerebral stroke patients on leukocyte count(WBC),C-reactive protein(CRP)and erythrocyte sedimentation rate(ESR)from the theory of toxic-stasis. Methods:60 patients with acute ischemic cerebral stroke were divided into a control group and an observation group according to the random number table method,30 cases per group. The control group received conventional western medicine treatment and the observation group were given detoxification and decoction for detoxication and activating blood stasis on the basis of the control group. Before treatment and after 2-week treatment,NIHSS scores of the patients in the two groups were taken and their total WBC,CRP,and ESR were determined. Results:After 2-week treatment,the NIHSS scores,serum WBC,CRP and ESR levels in the two groups were decreased(P<0.05),and the reduction extent of the observation group was better than that of the control group(P<0.05). The total effective rate of the observation group was 90 %,significantly better than that(76.7%)of the control group(P<0.05). Conclusion:The decoction for detoxication and activating blood stasis can help reduce the NIHSS score of patients and reduce the serum WBC,CRP and ESR levels at the same time,thus promoting the recovery of neurological function and reducing the complications of acute ischemic cerebral stroke.
引文
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