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[目的]观察益气活血汤联合西医治疗2型糖尿病并发脑梗塞疗效。[方法]使用随机平行对照方法,将60例门诊及住院患者按随机数字表法分为两组。对照组30例积极调整血压,并进行吸氧以及纠正酸碱失衡等状态,对于颅内水肿者采用脱水治疗降低颅内压,通过降压药稳定血糖水平。治疗组30例益气活血汤(黄芪30g,熟地黄、丹参各20g,枸杞、山茱萸、川芎、地龙各12g,水蛭8g、石菖蒲各8g);1剂/d,全自动入药煎药机煎煮,水煎250mL,2袋/剂,1袋/次,早晚餐后30min服用。其他治疗同对照组。连续治疗15d为1疗程。观测临床症状、血液流动力学变化、不良反应。连续治疗3疗程,判定疗效。[结果]治疗组显效21例,有效7例,无效2例,总有效率93.30%。对照组治愈15例,有效6例,无效9例,总有效率70.00%。治疗组疗效优于对照组(P<0.05)。血液流动力学变化治疗组改善优于对照组(P<0.05)。[结论]益气活血汤联合西医治疗2型糖尿病并发脑梗塞效果显著,值得推广。
[Objective] To observe the curative effect of Yiqi Huoxue Decoction combined with western medicine on type 2 diabetes with cerebral infarction. [Methods] Using randomized parallel method, 60 outpatients and inpatients were divided into two groups according to random number table. Control group, 30 cases of positive adjustment of blood pressure, oxygen and to correct the acid-base imbalance and other states, for intracranial edema, dehydration therapy to reduce intracranial pressure, antihypertensive drugs to stabilize blood glucose levels. Treatment group, 30 cases of Yiqi Huoxue Decoction (Astragalus 30g, Rehmannia, Salvia the 20g, wolfberry, dogwood, Chuanxiong, earthworm each 12g, leech 8g, Shichangpu each 8g); 1 / d, Decoction, decoction 250mL, 2 bags / dose, 1 bag / time, take 30min after breakfast and dinner. Other treatment with the control group. Continuous treatment 15d for a course of treatment. Observation of clinical symptoms, hemodynamic changes, adverse reactions. Continuous treatment of 3 courses to determine the efficacy. [Result] In the treatment group, 21 cases were markedly effective, 7 cases effective, 2 cases ineffective, and the total effective rate was 93.30%. The control group was cured in 15 cases, effective in 6 cases, ineffective in 9 cases, the total effective rate was 70.00%. The treatment group was better than the control group (P <0.05). Hemodynamic changes in the treatment group improved better than the control group (P <0.05). [Conclusion] Yiqi Huoxue decoction combined with Western medicine has obvious effect on type 2 diabetes mellitus complicated with cerebral infarction, which is worth to be popularized.