【摘要】 目的:探讨复方苄丝肼、溴隐亭和中药神经再通口服液对持续性植物状态(persistentvegetativestate,PVS)患者的治疗作用。方法:选用新乡医学院第三附属医院收治PVS患者30例,诊断均符合中华医学会急诊医学分会1996制定的植物状态诊断标准,并排除颅内占位,有明显心、肺、肾赃等脏器功能损害者。将30例患者随机分为西医治疗组(10例)、中西医治疗组(10例)及对照组(10例)。西医组用复方苄丝肼、溴隐亭;中西药治疗组在西药治疗基础上用再通口服液治疗,对照组用安慰剂同法给药。结果:西药治疗组:4例患者症状有明显改善,6例无效,总有效率为40%(4/10);中西治疗组:7例症状有改善,3例无效,总有效为70%(7/10),对照组:2例有效,8例无效,总有效率为20%(2/10),中西药治疗效果好于单纯西药,两者均好于对照组。结论:复方苄丝肼、溴隐亭和中药方剂对持续性植物状态患者有显著疗效。更多还原

【Abstract】 AIM:To discuss the therapy on the patients in persistent vegetative state(PVS) with madopar, bromocriptine and traditional Chinese medicine called shenjing zaitong oral solution. METHODS:Thirty patients with PVS were selected from the Third Affiliated Hospital of Xinxiang Medical College,who were in coincidence to the diagnostic criterion of vegetative state established by Emergency Medical Branch of China Medical Board in 1996, nd those with intracranial space occupying lesion and other obviously functional damage of viscera,such as heart,lung and kidney were excluded.All patients were randomly divided into three groups:western medicine group(n=10),the combination of traditional Chinese medicine and western medicine group(n=10) and control group(n=10). All patients were treated with madopar and bromocriptine,oral solution based on western therapy,and placebo respectively. RESULTS:In western medicine group,symptoms of four patients were improved obviously,but six patients were not changed.The total effective rate was 40%(4/10).In the combination of traditional Chinese medicine and western medicine group,symptoms of seven patients were improved obviously,but three patients were not changed.The total effective rate was 70%(7/10). In control group,symptoms of two patients were improved obviously, but eight patients were not changed.The total effective rate was 20%(2/10). The therapy of the combination of traditional Chinese medicine and western medicine was better than only western medicine,and both of them were better than that in control group. CONCLUSION:Madopar,bromocriptine and Chinese prescription play an important role in the recovery of the patients with PVS.更多还原