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目的:观察并分析中西医结合治疗对急性脑卒中患者免疫功能及肺炎发生率的影响,探讨脑卒中治疗的新方法、新思路。方法:以2014年1月—2016年2月期间在医院治疗的94例急性脑卒中患者作为研究对象,根据治疗方法的不同分为两组,研究组患者采用中西医结合治疗,对照组采用单纯西医治疗,对比两种治疗方式对急性脑卒中患者免疫功能及肺炎发生率的影响。结果:研究组和对照组的患者在治疗前后NIHSS评分、BI指数差值具有明显差异,P<0.05,研究组患者治疗后生存质量评分(68.52±12.30)明显高于对照组的(60.42±10.15),对照组患者肺炎发生率和死亡率也明显低于对照组,P<0.05;研究组患者的HLA-DR表达率明显高于对照组,研究组患者的Th1/Th2比例和Treg细胞占有率明显低于对照组,差异具有统计学意义(P<0.05)。结论:急性脑卒中患者采用中西医结合治疗的模式取得了更好的治疗效果,提高患者的免疫功能,降低肺炎发生率,明显改善患者的生存质量,值得在急性脑卒中患者的治疗上推广使用。
Objective: To observe and analyze the effect of integrated traditional Chinese and western medicine on immune function and incidence of pneumonia in patients with acute stroke, and explore new methods and new ideas for the treatment of stroke. Methods: A total of 94 acute stroke patients treated in the hospital from January 2014 to February 2016 were divided into two groups according to the different treatment methods. The study group was treated with combination of TCM and Western medicine, while the control group was treated with simple Western medicine treatment, compared the two kinds of treatment of acute stroke patients with immune function and the incidence of pneumonia. Results: There were significant differences in NIHSS score and BI index between the two groups before and after treatment (P <0.05). The quality of life score of the study group was significantly higher than that of the control group (68.52 ± 12.30 vs 60.42 ± 10.15 ). The incidence and mortality of pneumonia in the control group were also significantly lower than those in the control group (P <0.05). The HLA-DR expression rate in the study group was significantly higher than that in the control group. The Th1 / Th2 ratio and Treg cell percentage Significantly lower than the control group, the difference was statistically significant (P <0.05). Conclusion: Acute stroke patients achieved better therapeutic effect by using the combination of TCM and WM, improving their immune function, reducing the incidence of pneumonia, and obviously improving their quality of life. It is worth to be popularized in the treatment of acute stroke patients .