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目的介绍中西医结合治疗老年缺血性中风的经验。方法中医分型：气虚血瘀型、风扰阻络型和痰浊瘀阻型。施用补阳还五汤化裁，随证加减，并用中西医结合治疗方法，观察临床疗效和ＴＣＤ、血液流变学的改变。结果基本痊愈２１例，占２８．７７％；显效３２例，占４３．８３％；有效１６例，占２１．９２％；无效４例，占５．４８％；总有效率９４．５２％。检测ＴＣＤ：除ＰＣＡ外，ＭＣＡ、ＡＣＡ、ＢＡ和ＶＴ平均流速的平均提高率分别为７．６０％、９．４９％、１３．８７％和９．９４％；ＰＩ平均下降率１１．４０％。血液流变学：除红细胞压积及血沉外，全血粘度比（低切变、高切变）、血浆粘度比、全血还原粘度（低切变、高切变）、血沉方程Ｋ值和纤维蛋白原平均下降率分别为：１６．４０％、１５．８０％、７．９４％、１１．２２％、１３．６６％、４．８６％和１９．６４％。结论老年缺血性中风患者经中西医结合治疗后，获得较满意的临床疗效，并且对ＴＣＤ和血液流变学指标有了一定程度的改善。
Objective To introduce the experience of traditional Chinese and western medicine in treating elderly ischemic stroke. Methods TCM classification: qi deficiency and blood stasis type, wind disturbance type and phlegm stasis type. Administration of Buyang Huanwu Decoction, with card addition and subtraction, and the use of traditional Chinese and Western medicine treatment, observation of clinical efficacy and TCD, hemorheology changes. The results were basically cured in 21 cases, accounting for 28.77%; 32 cases markedly effective, accounting for 43.83%; effective in 16 cases, accounting for 21.92%; ineffective in 4 cases, accounting for 5.48%; the total effective rate was 94.52%. Test TCD: The average rates of increase of MCA, ACA, BA and VT except for PCA were 7.60%, 9.49%, 13.87% and 9.94%, respectively; the average rate of decrease of PI was 11.40% . Hemorheology: In addition to hematocrit and ESR, whole blood viscosity ratio (low shear, high shear), plasma viscosity ratio, whole blood reducing viscosity (low shear, high shear), ESR equation K value and The average reduction rates of fibrinogen were: 16.40%, 15.80%, 7.94%, 11.22%, 13.66%, 4.86% and 19.64%, respectively. Conclusion The elderly patients with ischemic stroke after treatment with Chinese and Western medicine, to obtain more satisfactory clinical efficacy, and to TCD and hemorheology index to some extent improved.