参麦注射液治疗脑卒中的临床观察

  【摘要】 目的 观察参麦注射液治疗脑卒中的疗效。方法 将96例脑卒中患者随机分为治疗组和对照组,治疗组给予参麦注射液治疗3个疗程,每疗程10~12天,对照组给予常规治疗,对两组患者的残肢肌力及日常生活能力进行比较。结果 治疗组的肌力及日常生活能力较对照组提高,P<0.05。结论 参麦注射液早期治疗脑卒中患者,可提高患者的日常生活能力及生存质量。

  关键词 脑卒中 参麦注射液 康复

  The effect of shenmai injection in the treatment of stroke

  Huang Xianzhi

  Lianxi Health Center,Doumen,Zhuhai,Guangdong519135.

  【Abstract】 Objective To observe the effect of shenmai injection in the treatment of stroke.Methods 96patients with stroke were randomly divided into two groups.48patients were allocated to a therapy group,which was given three treatments,each treatment was10~12days.The remaining48patients were allocated to a control group,which was treated with the basis of regular medicine therapy.Compared the ability of the disable limbs and the daily life abilities of the two groups.Results The ability of muscle and the regular life abilities of the therapy group were much improved than the control group,P<0.05.Conclusion Shenmai injection could improve the regular life abiliˉty and life quality of the early stroke patients.

  Key words stroke shenmai injection rehabilitation

  脑卒中是中老年人常见的多发病,具有高发病率、高死亡率、高致残率的三高特点。据麦冬皂甙、五味子素等有效成分。具有益气养阴、复脉固脱的功效,具有改善微循环,增加组织血氧供应,提高机体耐缺氧和抗应激能力,清除自由基,抗脂质过氧化,对抗缺血、缺氧对心脑、细胞的损害,和抑制血栓形成,降低血粘度,减少血小板聚集、促进纤溶作用 [3] 。在脑卒中后的患者,因脑组织损伤后,出现虚实夹杂或标本兼虚之症,气虚阴虚证后逐渐明显,以气虚血瘀,气血不足,阳气虚衰导致肢体麻木,运动不灵,脑及运动功能康复缓慢。因此,我们采用参麦注射液自我调节,给予患者复脉固本培元,改善脑缺氧,营养和滋润神经细胞,预防再栓塞,逐渐恢复肌力,改善日常生活能力。研究结果表明 采用早期参麦注射液干预治疗,结合综合性院内超早期康复护理,可较常规治疗取得更好的康复疗效,可以最大程度地改善疾病的预后,提高生活质量,且费用较低廉,值得推广使用。

  参考文献

  1 1995中华医学会第四届全国脑血管学术会议通过.各类脑血管疾病诊断要点.中华神经科杂志,1996,29(6):379.

  2 黄如训,苏镇培.脑卒中.北京:人民卫生出版社,2001,35-34,338.

  3 邹怀忆,何龙.中医治疗中风病的方药.中国临床医生,2001,29(3):14.

  作者单位:519135广东省珠海市斗门区莲溪卫生院