目的 探讨黑虎膏外敷联合西医常规疗法治疗脑梗死的疗效及作用机制.方法 选择脑梗死确诊病例30例,给予外敷黑虎膏,并予降颅内压、控制血压和血糖、调血脂等西医常规治疗.根据患者的年龄、性别、病灶部位(左右脑)以及病情的严重程度分组,分别比较不同组内患者治疗前后神经功能缺损评分、日常生活活动指数评分(BI).比较患者自身治疗前后的神经功能缺损评分、日常生活活动指数评分及颅脑磁共振影像(MRI)变化,评价黑虎膏治疗脑梗死疗效.结果 治疗总有效率为86.67%.24例复查MRI患者中有22例脑梗死灶范围缩小,14例复查MRA中有 9例脑部血管分支增多.黑虎膏治疗后比治疗前神经功能缺损评分降低、BI评分升高(P<0.05).结论 黑虎膏外敷联合西医常规疗法对脑梗死治疗有效.病情越轻,治疗效果越佳.黑虎膏可能有再通栓塞的脑血管的作用.

目的:分析研究中药黑虎膏外敷治疗颈椎病的临床疗效.方法:选取2010年1月～2017年6月在我院中西医结合科治疗的颈椎病患者2 036例为研究对象,按单盲法随机分为对照组(1060例)和观察组(976例).其中观察组采用中药黑虎膏外敷治疗,对照组采用常用中药千山活血膏外敷治疗.比较两组患者治疗效果和VAS评分.结果:观察组总有效率为86.0％,明显优于对照组的63.8％,差异具有统计学意义(P＜0.05).结论:中药黑虎膏外敷治疗颈椎病效果显著,可快速缓解患者疼痛.

Objective To investigate the efficacy of edaravone combined with magnesium sulfate,and large doses of naloxone as the treatment of acute stroke.Methods 112 cases of acute stroke patients were divided into the observation group and control group with 46 cases in each group according to random number table.The control group was given edaravone;the observation group combined with magnesium sulfate,and large doses of naloxone.Neurological function,hemorheological indexes and efficacy were compared between the two groups.Results The total effective rate of the observation group was 86.96%(40/46),of the control group was 60.87%(36/46),the difference was statistically significant(P<0.01);the NDS score and hemorheological indexes of two groups were significantly lower after treatment(P<0.05),the observation group decreased more significantly than the control group(P<0.05);there were no adverse reactions in both groups.Conclusion Edaravone combined with magnesium sulfate,and large doses of naloxone treating acute stroke can improve nerve function quickly,promote blood circulation and significantly improve the efficacy,without adverse reactions.

目的对采用针刺与牵引联合的方法对患有腰椎间盘突出症的军人伤病员进行治疗的临床效果进行比较分析。方法抽取200例在我院就诊的患有腰椎间盘突出症的临床确诊伤病员病例,将其随机分为A、B2组,平均每组100例。A组伤病员采用牵引方法进行治疗;B组伤病员在A组基础上采用针灸刺激穴位(悬枢、命门、腰阳关)的方法进行治疗。对2组伤病员的疼痛评分、临床治疗效果、并发症和不良反应现象进行比较分析。结果 B组伤病员的临床治疗效果与A组伤病员比较,其有效率明显高出很多,有显著的统计学差异(P<0.05);该组伤病员的疼痛评分明显低于A组伤病员,有显著的统计学差异(P<0.05)。结论采用对针刺与牵引联合的方法对患有腰椎间盘突出症的军人伤病员进行治疗的临床效果十分明显,可以使伤病员的疼痛感显著减轻,在治疗过程中不会出现特殊的并发症和不良反应现象,可以作为进行临床对该类伤病员进行治疗的首选方法。