| Objective:A high incidence of stroke, high morbidity and high mortality characteristics of its research and prevention has become a major public health problem in China, Chinese medicine treatment of individuals with stroke prevention, comprehensive intervention characteristics, good effect. Through the national "Plan" to "fifteen" key, stroke prevention and treatment in Chinese medicine has been systematically studied, especially the "fifth" period to carry out comprehensive treatment of stroke disease research application with good prospects for improve the clinical efficacy of stroke, reducing disability in patients, increase the quality of life has important practical value. This study is the Beijing Traditional Chinese Medicine Authority "during" 51510 project "Technology Upgrading county primary service capabilities of Chinese medicine" theme program, building coverage in Beijing suburb of clinical research collaboration and training network platform, stroke prevention and treatment of Chinese medicine disease prevention and control optimization results and reasonable application program at the grassroots level, the establishment of monitoring points stroke syndromes, in the realization of scientific and technological advantages into advantages for the health service, but also to reduce the waste of medical resources, solving "difficult and expensive "questions to explore.Methods:This more than 100 cases were observed in patients with acute ischemic stroke, were hospitalized after the stroke register of Beijing suburb of patients with ischemic stroke incidence, multi-center, randomized controlled method, in accordance with the requirements of evidence-based medicine to Western currently accepted and effective treatment options for the control group, the acute phase of stroke medicine comprehensive treatment program for prospective clinical randomized controlled study. The treatment group for the "medical diagnosis and treatment based on treatment+oral+intravenous medicine acupuncture and Chinese medicine formulations+"; control group selection thrombolytic, fibrinolytic, anticoagulant, anti-platelet aggregation, improve cerebral blood circulation and metabolism, nutrition therapy; groups are the implementation of routine care and rehabilitation programs, treatment 14 days after treatment differences were compared, using the U.S. National Institutes of Health Stroke Scale (NIHSS) evaluation of patients with neurologic impairment, and were followed to evaluate the incidence of 1,3,6 months months later, the activities of daily living, quality of life, cognitive function.Results:The results showed that:①Suburban districts and counties of Beijing in patients with ischemic stroke more men than women to secondary education among the main risk factors of its main food greasy, halophilic, hobbies, alcohol, brash irritability, body obesity and associated with hypertension, hyperlipidemia and diabetes.②Compared with the admission, treatment and control group patients after treatment can improve neurologic impairment, two groups of neurological impairment at each time point was no significant difference between the two groups.③Treatment group and control group at all time points improvement activities of daily living was no significant difference between the two groups.④Treatment group and control group at all time points smart improvement was no significant difference between the two groups.⑤The average cost of hospitalization treatment group than the control group.⑥Treatment and control groups were not found to have serious adverse events in the control group relapsed during follow-up found in 1 case and 1 died.Conclusion:This study peri-urban areas in Beijing, ischemic stroke, stroke patients were registered and validated to diagnosis and treatment of acute stroke is characterized by comprehensive treatment of, more effective and better economic value, no serious adverse reactions worthy of promotion. |
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