TCM  >> Vol. 6 No. 2 (May 2017)

    羚角钩藤汤加减治疗急性脑卒中中枢热36例
    The Effect of 36 Cases of Acute Stroke in Central Heating Treated with Ling Jiao Gou Teng Decoction

  • 全文下载: PDF(523KB) HTML   XML   PP.91-97   DOI: 10.12677/TCM.2017.62016  
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作者:  

王延超:河南省伊川县中医院神经内科,河南 洛阳

关键词:
羚角钩藤汤急性脑卒中中枢热Ling Jiao Gou Teng Decoction Acute Stroke Central Heat

摘要:

目的:观察羚角钩藤汤加减治疗36例中枢热患者的临床疗效。方法:将我院重症监护病房2014年4月~2016年10月间收住的60例急性脑卒中并发中枢热患者,随机分为常规组(对照组) 24例和治疗组36例,所有两组病人均在重症监护下治疗,运用冰帽物理降温,溴隐亭日3次鼻饲,醒脑静静滴,控制血压,预防并发症。治疗组在常规治疗的同时给予羚角钩藤汤鼻饲,治疗7天为一疗程。分别观察两组在治疗3,5,7天的体温控制情况,3,7天意识状态改善情况,及7天后并发症发生的多少,病情预后改善情况。结果:羚角钩藤汤治疗组不仅能有效缩短体温控制的时间,并且对改善患者意识的状态,改善患者的预后,减少并发症等方面均优于对照组。结论:羚角钩藤汤治疗中枢热可明显的缩短控制患者体温的时间,改善意识状态,减少并发症,改善预后,值得推广。

Objective: To observe the clinical efficacy in 36 cases of patients with central heating treated with Ling Jiao Gou Teng Decoction. Method: 60 cases of acute cerebral stroke complicated with central fever patients in ICU of our hospital during on April 2014 to October 2016, were randomly divided into24 cases of routine group (control group) and 36 cases of treatment group. All the two group patients were treated with intensive caring, ice physical cooling, bromocriptine nasal feeding 3 times a day quietly and intravenous infusion of Xingnaojing to control blood pressure and prevent complications at the same time. While in the conventional treatment, the treatment group was also treated 7 days as a course of treatment with nasal feeding with Ling Jiao Gou Teng Decoction. The two groups were observed the results of temperature control in the treatment of 3, 5, 7 days, the state of consciousness improvement on the 3, 7 days, the incidence of complications 7 days later. And the improvement of prognosis was also observed all time. Result: The treatment group treated with Ling Jiao Gou Teng Decoction can not only shorten the time of the temperature control effectively, but also improve the patient’s state of consciousness and prognosis, and polish up complications reduction compared with the control group. Conclusion: Ling Jiao Gou Teng Decoction is of much clinical value because of reducing the time of the patient’s body temperature control, improving the state of consciousness and prognosis and reducing the complications of stroke in central heating.

文章引用:
王延超. 羚角钩藤汤加减治疗急性脑卒中中枢热36例[J]. 中医学, 2017, 6(2): 91-97. https://doi.org/10.12677/TCM.2017.62016

参考文献

[1] 周仲英. 中医内科学[M]. 北京: 中国中医药出版社, 2012: 304-315.
[2] 王维治. 神经病学[M]. 北京: 人民卫生出版社, 2014: 145-151.
[3] 孔伟, 吴硕琳, 毛淑静, 等. 亚低温对大鼠脑缺血再灌注后出血转化及超微结构的影响[J]. 中国卒中杂志, 2012, 7(2): 103-108.
[4] 张建波, 陈志, 张渊, 等. 大鼠脑室出血后急性期脑损伤病理特点的初步探讨[J]. 中华神经医学杂志, 2013, 12(7): 65-669.
[5] 周路球, 马真, 纠智松, 等. 轻度低温联合依达拉奉治疗提高重型颅脑损伤疗效[J]. 中华神经医学杂志, 2013, 12(8): 815-817.
[6] 杜芳, 李锐, 李俊枝, 等. 多巴胺受体激动剂的神经保护作用[J]. 中国新药与临床杂志, 2005, 24(2): 151-154.
[7] 王晶余, 徐中信, 康志臣. 溴隐亭治疗中枢性高热临床观察[J]. 吉林医学, 2004, 25(12): 30-31.
[8] 庄伟端, 欧利民, 郑俊忠, 等. 醒脑静注射液对急性脑梗死意识障碍患者的影响[J]. 中国中西医结合急救杂志, 2001, 8(6): 34-36.
[9] 李保平, 马金叶. 醒脑静注射液治疗脑出血疗效观察[J]. 河南大学学报: 医学版, 2006, 25(1): 136-137.
[10] 陈坚, 张素平, 徐伟华, 等. 醒脑静注射液对急性脑出血患者细胞因子水平影响的研究[J]. 中国中西医结合急救杂志, 2004, 11(4): 224-261.
[11] 闫秀林, 催志刚, 王钊鹏. 醒脑静注射液治疗脑出血并发发热临床疗效观察[J]. 现代中西医结合杂志, 2011, 20(35): 4516-4517.
[12] 宋建英, 沈晓明, 马云枝. 醒脑静注射液治疗急性脑血管病并发中枢性高热临床研究[J]. 中医学报, 2011, 26(7): 841-842.
[13] 林峰. 醒脑静注射液对急性脑卒中昏迷伴中枢性高热的疗效[J]. 中医学报, 2014(B12): 362-363.
[14] 杨广民, 彭新君, 田育望, 等. 羚羊角塞水溶性蛋白质成份的解热、镇惊和镇痛作用研究[J]. 中国中医药信息杂志, 2002, 9(4): 31-32.