血府逐瘀汤联合阿托伐他汀钙治疗急性脑梗死的临床观察(1)
摘要：目的 观察血府逐瘀汤联合他汀类治疗急性脑梗死的临床疗效。方法 选取2017年10月～2018年10月江西省上饶市第二人民医院门诊或住院所接收的120例急性脑梗死患者，随机分为对照组及治疗组，每组60例。对照组采用常规西医治疗，治疗组在对照组基础上加用血府逐瘀汤及阿托伐他汀钙治疗，疗程2周。比较两组临床疗效及不良反应发生情况。结果 治疗组总有效率为93.33%，高于对照组的76.67%，差异有统计学意义(P<0.05)，两组治疗期间均无明显不良反应发生。结论 在西医基础上采用血府逐瘀汤联合阿托伐他汀钙治疗急性脑梗死患者，可明显改善患者的临床症状，有较好疗效，且未增加明显的不良反应。
关键词：急性脑梗死;血府逐瘀汤;阿托伐他汀
中图分类号：R543.4 文献标识码：A DOI：10.3969/j.issn.1006-1959.2019.05.054
, 百拇医药
文章编号：1006-1959(2019)05-0165-02
Abstract：Objective To observe the clinical efficacy of Xuefu Zhuyu Decoction combined with statins in the treatment of acute cerebral infarction. Methods A total of 120 patients with acute cerebral infarction received from the outpatient or inpatient department of the Second People's Hospital of Shangrao City， Jiangxi Province from October 2017 to October 2018 were randomly divided into the control group and the treatment group， with 60 cases in each group. The control group was treated with conventional western medicine. The treatment group was treated with Xuefu Zhuyu Decoction and atorvastatin calcium on the basis of the control group for 2 weeks. The clinical effects and adverse reactions were compared between the two groups.Results The total effective rate of the treatment group was 93.33%， which was higher than that of the control group 76.67%，the difference was statistically significant (P<0.05). There was no obvious adverse reaction during the treatment period. Conclusion On the basis of Western medicine， Xuefu Zhuyu Decoction combined with atorvastatin calcium in the treatment of patients with acute cerebral infarction can significantly improve the clinical symptoms of patients， has a good effect， and does not increase the obvious adverse reactions.
, http://www.100md.com
Key words：Acute cerebral infarction;Xuefu Zhuyu Decoction;Atorvastatin
急性腦梗死(Acute cerebral infarction)[1，2]是常见临床疾病，又称缺血性脑卒中，是指因脑部血液供应障碍，缺血、缺氧所导致的局限性脑组织的缺血性坏死或软化。临床表现以猝然昏倒、不省人事、半身不遂、言语障碍、智力障碍为主要特征。脑梗死不仅给人类健康和生命造成极大威胁，而且给患者、家庭及社会带来极大的痛苦和沉重的负担[3]。随着急性脑梗死中医认识的发展，中西医结合治疗急性脑梗死优势凸显。在常规西医治疗基础上配合中医药治疗，可以减少西药用量，减轻西药副作用[4]。本文以我院2017年10月～2018年10月门诊或住院所接收的120例急性脑梗死患者为研究对象，采用血府逐瘀汤联合阿托伐他汀钙治疗急性脑梗死的患者，取得较好效果，现报告如下。
1资料与方法
1.1一般资料 2017年10月～2018年10月江西省上饶市第二人民医院门诊或住院所接收的120例急性脑梗死患者。完全随机分为治疗组和对照组，各60例。治疗组中男34例，女26例;年龄40～79岁，平均年龄(63.15±8.60)岁。对照组中男33例，女27例;年龄39～80岁，平均年龄(63.51±10.18)岁。两组性别、年龄比较，差异无统计学意义，具有可比性(P>0.05)。, http://www.100md.com(徐润鸿)
关键词：急性脑梗死;血府逐瘀汤;阿托伐他汀
中图分类号：R543.4 文献标识码：A DOI：10.3969/j.issn.1006-1959.2019.05.054
, 百拇医药
文章编号：1006-1959(2019)05-0165-02
Abstract：Objective To observe the clinical efficacy of Xuefu Zhuyu Decoction combined with statins in the treatment of acute cerebral infarction. Methods A total of 120 patients with acute cerebral infarction received from the outpatient or inpatient department of the Second People's Hospital of Shangrao City， Jiangxi Province from October 2017 to October 2018 were randomly divided into the control group and the treatment group， with 60 cases in each group. The control group was treated with conventional western medicine. The treatment group was treated with Xuefu Zhuyu Decoction and atorvastatin calcium on the basis of the control group for 2 weeks. The clinical effects and adverse reactions were compared between the two groups.Results The total effective rate of the treatment group was 93.33%， which was higher than that of the control group 76.67%，the difference was statistically significant (P<0.05). There was no obvious adverse reaction during the treatment period. Conclusion On the basis of Western medicine， Xuefu Zhuyu Decoction combined with atorvastatin calcium in the treatment of patients with acute cerebral infarction can significantly improve the clinical symptoms of patients， has a good effect， and does not increase the obvious adverse reactions.
, http://www.100md.com
Key words：Acute cerebral infarction;Xuefu Zhuyu Decoction;Atorvastatin
急性腦梗死(Acute cerebral infarction)[1，2]是常见临床疾病，又称缺血性脑卒中，是指因脑部血液供应障碍，缺血、缺氧所导致的局限性脑组织的缺血性坏死或软化。临床表现以猝然昏倒、不省人事、半身不遂、言语障碍、智力障碍为主要特征。脑梗死不仅给人类健康和生命造成极大威胁，而且给患者、家庭及社会带来极大的痛苦和沉重的负担[3]。随着急性脑梗死中医认识的发展，中西医结合治疗急性脑梗死优势凸显。在常规西医治疗基础上配合中医药治疗，可以减少西药用量，减轻西药副作用[4]。本文以我院2017年10月～2018年10月门诊或住院所接收的120例急性脑梗死患者为研究对象，采用血府逐瘀汤联合阿托伐他汀钙治疗急性脑梗死的患者，取得较好效果，现报告如下。
1资料与方法
1.1一般资料 2017年10月～2018年10月江西省上饶市第二人民医院门诊或住院所接收的120例急性脑梗死患者。完全随机分为治疗组和对照组，各60例。治疗组中男34例，女26例;年龄40～79岁，平均年龄(63.15±8.60)岁。对照组中男33例，女27例;年龄39～80岁，平均年龄(63.51±10.18)岁。两组性别、年龄比较，差异无统计学意义，具有可比性(P>0.05)。, http://www.100md.com(徐润鸿)