【摘要】 目的:探讨脑损伤后阵发性自主神经功能紊乱的中西医结合分阶段辨证论治的疗效分析。方法:将2014年3月-2018年3月在我院各相关临床科室治疗的70例脑损伤后阵发性自主神经功能紊乱患者随机分为两组,对照组采用常规西医治疗方法,观察组采用中西医结合分阶段辨证论治,比较两组患者的临床疗效、症状改善情况、神经功能缺损程度、生活质量改善情况。结果:观察组治总有效率为82.86%,明显高于对照组的65.71%(P <0.05);观察组治疗后心率、呼吸、体温、血压、肌张力、过度汗出、姿势异常等缓解时间明显较对照组缩短(P <0.05);观察组治疗7 d、14 d、21 d、35 d的NIHSS评分明显低于对照组(P <0.05);观察组治疗7 d、14 d、21 d、35 d的BI指数明显高于对照组(P <0.05)。结论:脑损伤后阵发性自主神经功能紊乱的中西医结合分阶段辨证论治的疗效显著,能有效缓解自主神经功能紊乱症状,促进神经功能的修复,改善生活质量,具有积极的临床意义。更多还原

【Abstract】 Objective: To explore the curative effect analysis of the treatment of paroxysmal autonomic nervous dysfunction after brain injury with the combination of traditional Chinese medicine and western medicine. Methods: 70 patients with paroxysmal autonomic nerve dysfunction after brain injury treated in our hospital from March, 2014 to March 2018 in relevant different clinical units were randomly divided into two groups, the control group received conventional western medicine treatment, the observation group received traditional Chinese and western medicine combined with syndrome differentiation in different stages, the clinical e?cacy of two groups of patients, symptoms improvement, the degree of nerve function defect, improvement of the quality of life of two groups were compared.Results: The effective rate of treatment in the observation group was 82.86%, which was signi?cantly higher than 65.71% of the control group(P < 0.05). After treatment, the relief time of heart rate, respiration, body temperature, blood pressure, muscular tension, excessive perspiration and posture abnormality of the observation group was signi?cantly shorter than that of the control group(P<0.05). The NIHSS scores of the observation group on 7 d, 14 d, 21 d and 35 d were signi?cantly lower than those of the control group(P<0.05). The BI index of the observation group on 7 d, 14 d, 21 d and 35 d was signi?cantly higher than that of the control group(P<0.05). Conclusion: The combination of Chinese and western medicine in treating paroxysmal autonomic nerve dysfunction after brain injury was effective, it could effectively relieve symptoms of autonomic nerve dysfunction, promote the rehabilitation of neurological function and improve quality of life, and was of positive clinical signi?cance.更多还原