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目的:观察涤痰逐瘀法联合西医药物治疗脑血管狭窄的临床效果。方法:将160例脑血管狭窄患者,随机分为观察组和对照组,每组80例,观察组采用中西医联合治疗,对照组仅给予西医药物治疗。观察3月后2组临床治疗效果,C-反应蛋白水平(CRP)、血小板聚集率(PAR)和纤维蛋白原水平(FIB)以及不良反应。结果:总有效率观察组80.00%,对照组63.75%,2组比较,差异有统计学意义(P<0.05)。观察组CRP、PAR、FIB与对照组比较,差异有统计学意义(P<0.05)。不良反应发生率观察组5.00%,对照组2.50%,2组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:涤痰逐瘀法联合西医药物治疗脑血管狭窄临床效果显著,各项指标改善明显,且不良反应少,值得推广。
Objective: To observe the clinical effects of Ditan phlegm and blood stasis combined with Western medicine in the treatment of cerebrovascular stenosis. Methods: 160 patients with cerebrovascular stenosis were randomly divided into observation group and control group, 80 cases in each group. The observation group was treated with integrated traditional Chinese and western medicine, while the control group was treated with western medicine only. The clinical effects, C-reactive protein (CRP), platelet aggregation rate (PAR) and fibrinogen level (FIB) and adverse reactions in the two groups were observed after 3 months. Results: The total effective rate was 80.00% in the observation group and 63.75% in the control group. There was significant difference between the two groups (P <0.05). The difference of CRP, PAR, FIB between the observation group and the control group was statistically significant (P <0.05). The incidence of adverse reactions in the observation group 5.00%, control group 2.50%, two groups of adverse reactions, the difference was not statistically significant (P> 0.05). Conclusion: Ditan phlegm and blood stasis combined with Western medicine treatment of cerebral vascular stenosis clinical effect was significant, the indicators improved significantly, and fewer adverse reactions, it is worth promoting.