西药联合通窍活血汤治疗脑卒中后癫痫的临床疗效

杨秀斌

（陕西省渭南市合阳县医院神经内科，陕西 渭南，715300）

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摘要：

目的 探究通窍活血汤联合西药治疗脑卒中后癫痫的临床效果。方法 将我院2016年5月至2016年9月收治的128例脑卒中后癫痫患者根据治疗方法分为试验组和对照组，每组64 例，试验组使用通窍活血汤与西药联合治疗，对照组单纯使用西药治疗。比较两组患者的临床疗效。结果 治疗后，两组患者血浆t-PA、D-二聚体水平，癫痫发作次数及MoCA、NFD评分均改善，试验组以上指标均明显优于对照组（P<0.05）；试验组治疗总有效率（92.2% ，59/64）高于对照组（75.0% ，48/ 64）（P<0.01）。结论 对于脑卒中后癫痫患者，采用通窍活血汤与西药联合治疗有助于提升疗效，显著改善血浆t-PA、D-二聚 体水平，同时有利于降低癫痫发作的频率及MoCA、NFD评分。

关键词：脑卒中后癫痫；西药；通窍活血汤

中图分类号：R277.7 文献标志码：A文章编号：2096-1413(2017)28-0112-02

Curative effect of western medicine combined with Tongqiao Huoxue decoction on epilepsy after stroke
YANG Xiu-bin
(Department of Neurology, Heyang County Hospital, Weinan 715300, China)

ABSTRACT: Objective To explore the clinical effect of Tongqiao Huoxue decoction combined with western medicine in epilepsy patients after stroke. Methods One hundred and twenty-eight patients with post-stroke epilepsy admitted in our hospital from May 2016 to September 2016 were divided into experimental group and control group according to different treatment methods, with 64 cases in each group. The experimental group was treated with Tongqiao Huoxue decoction
combined with western medicine, and the control group used western medicine alone. The clinical efficacy were compared between the two groups. Results After treatment, the plasma levels of t-PA and D-dimer, seizures times and scores of MoCA, NFD in the two groups significantly improved, and those indexes in the experimental group were better than the control group (P<0.05); the total effective rate of the experimental group (92.2%, 59/64) was significantly higher than that in the control group (75.0%, 48/64) (P<0.01). Conclusion Tongqiao Huoxue decoction combined with western medicine can improve the curative effect and redeuce the levels of t-PA and D-dimer, frequency of seizures and scores of t-PA, D-dimer in patients with epilepsy after stroke.
KEYWORDS: epilepsy after stroke; western medicine; Tongqiao Huoxue decoction

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