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田黄活血通络汤治疗急性出血性脑卒中的临床观察 被引量:8

Clinical Observation on Treatment of Acute Hemorrhagic Stroke by Tianhuang Huoxue Tongluo Decoction
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摘要 目的评价田黄活血通络汤治疗急性出血性脑卒中的临床疗效。方法将 72例脑出血急性期患者随机分为治疗组 (32例 )和对照组 (40例 ) ,在常规西药治疗的基础上 ,治疗组于发病第 6天加服田黄活血通络汤 ,疗程 30天。结果治疗后第 15日及第 30日两组患者神经功能缺损程度积分比较 ,差异有显著性 ;治疗组临床疗效显著进步率达 71 88% ,优于对照组的 5 5 0 0 % (P <0 0 5 ) ,且未发现再次脑出血和继发梗死者。结论田黄活血通络汤可能对机体自身的凝血机制和促纤溶机制有双向调节作用 ,有利于急性出血性脑卒中患者血肿的溶解和吸收 ,对防止再出血和出血后继发梗死 ,提高治愈率。 Objective To evaluate the clinical effect of Tianhuang Huoxue Tongluo Decoction (THTD) in treating acute hemorrhagic stroke. Methods Seventy two patients were randomly divided into the treated group (n=32) and the control group (n=40), they were treated with conventional Western medicine treatment and to the patients in the treated group, THTD was given additionally starting from the 6th day of disease for 30 days. Results Comparison of the neurofunction deficit scoring on the 15th day and the 30th day after treatment was significantly different in both group (P<0 05). The markedly improving rate in the treated group was 71 88%, which was better than that in the control group (55 00%, P<0 05), and no relaptic hemorrhage or secondary infarction case was found in the treated group. Conclusion THTD may have bi directional regulation on coagulation mechanism and fibrinolysis promoting mechanism, thus to benefit the resolving and absorption of hematoma in stroke patients, which plays important role in preventing relapse and secondary infarction, raising the cure rate, reducing mortality and disability rate.
出处 《中国中西医结合杂志》 CAS CSCD 北大核心 2004年第8期698-700,共3页 Chinese Journal of Integrated Traditional and Western Medicine
关键词 田黄活血通络汤 急性出血性脑卒中 中医药疗法 急性期 hemorrhagic stroke acute stage TCM therapy Tianhuang Huoxue Tongluo decoction
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  • 1[3]The National Institute of Neurological Disorders and Stroke rt-PA Stroke Study Group. Tissue plasminogen activator for acute ischemic stroke. New Engl J Med 1995;333: 1581-1587. 被引量:1
  • 2[4]高学敏.中药学北京:人民卫生出版社,2000:595,988-1017,1104-1118,1422.Gao XM. Science of Chinese materia medica. Bering: People's Medical Publishing House, 2000:595, 988-1017, 1104-1118,1422. 被引量:1

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