自拟消渴脑病方联合西药治疗糖尿病合并脑梗死的临床研究

Xiaoke Naobing fang combined with western treatment of diabetes and acute cerebral infarction of clinical observation

关键词:  急性脑梗死  糖尿病  中医药治疗  自拟消渴脑病方

Key words:  acute cerebral infarction  diabetes mellitus  Chinese medicine treatment  Xiaoke Naobing fang

摘要:

[目的] 观察自拟消渴脑病方联合西药治疗糖尿病合并急性脑梗死的临床疗效。[方法] 将96例入选患者随机分为治疗组与对照组，对照组48例常规内科治疗；治疗组48例在对照组基础上，加服自拟消渴脑病方的中药煎剂，14 d后观察疗效。[结果] 治疗组与对照组总有效率分别为87.50%和70.83%，差异具有统计学意义（P<0．05）；治疗组在神经功能缺损情况、出院时评定病残程度、改善中医证候疗效及空腹血糖、D-二聚体等指标与对照组比较差异均有统计学意义（P<0．05）。[结论] 自拟消渴脑病方联合西药治疗糖尿病并脑梗死具有较好的临床疗效。

Abstract:

[Objective] To observe the clinical efficacy of Xiaoke Naobing fang combined with western medicine in the treatment of diabetes mellitus and acute cerebral infarction.[Methods] Ninty-six patients were randomly divided into treatment group and control group. Forty-eight patients in control group received conventional medical treatment. On the basis of the control group, 48 patients in the treatment group were treated with decoction of traditional Chinese medicine for relieving the thirst of encephalopathy.[Results] The treatment group and the control group, the total effective rate was 87.50% and 70.83%, a significant difference (P<0.05).The neurological deficit situation, assess the degree of disability at discharge, TCM symptoms, FPG, D-Dimer of treatment group compared with the control group, there were significant differences (P<0.05).[Conclusion] The treatment of diabetes mellitus and acute cerebral infarction with Xiaoke Naobing fang combined with western treatment had a better clinical effect.