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

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。

Abstract: 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.