摘要
本文通过对248例中风病临床分型分析，以气虚血瘀证最多，占38．31％，其次为阴虚风动证、肝阳暴亢、风火上扰证。本组病人不论是出血性中风，还是缺血性中风，均采用中医辨证治疗基础上，口服中成药及静脉滴注活血化瘀针剂以加强活血化瘀、涤痰通络这一治疗法则，总有效率为84．27％，其中出血性中风和缺血性中风的总有效率分别为86．95％和83．24％。对血液流变学、脑出血患者治疗前后脑CT对照观察，认为这一治疗方法可以降低血液粘度，改善脑供血，促进血肿吸收，加速神经功能恢复。从不同证候疗效分析，认为气虚血瘀证疗效最好（92．63％），元气败脱、心神散乱证及风火上扰清窍证预后最差，其次为肝阳暴亢、风火上扰证和阴虚风动证，指出可能与其发病急，病情重，病势演变快有关，对这几个证型患者要加强监护措施，尽快防止病情演变，降低病死率。
The TCM syndromes of 248 cases of apoplexy were studied. The patients either with hemorrhagic apoplexy or with ischemic apoplexy were treated based on differentiation of syndromcs combincd with oral and intravenous administration of Chinese medicines for promoting blood circulation and removing blood stasis. The total effective rate is 84. 2%, in which the effective rate of hemorrhagic apoplexy is 86. 96%, that of ischcmic apoplexy is 83. 24%. Obscrvation on blood rhcology and brain CT before and after treatment in patients with hemorrhage of brain showed that this therapy can reduce blood viscosity, improve blood supply of brain, promote the absorption of hcmatomcs and and quick the repair of ncrvous function.
出处
《中国中医急症》
1997年第1期8-10,共3页
Journal of Emergency in Traditional Chinese Medicine
关键词
中风
脑出血
脑梗塞
血液流变学
中医药疗法
Treatment based on differentiation of syndromes Apoplexy Hemorrhage of brain Cerebral infarction Blood rheology
