降糖活血方治疗糖尿病性脑梗死的临床评价

目的：评价降糖活血方治疗糖尿病性脑梗死的临床效果。方法选择54例糖尿病性脑梗死患者作为研究对象，按单纯随机抽样原则平均分为对照组27例与治疗组27例，对照组采用常规治疗，治疗组在对照组治疗基础上加用降糖活血方。观察两组总有效率、血浆糖化血红蛋白，并采用简易精神状态检查量表（ MMSE）中文版以及蒙特利尔认知评估量表（ MoCA）对各组患者治疗前后认知状况进行评价。结果治疗组治疗总有效率为88．89％，显著高于对照组的70．37％（χ2＝4．358，P＜0．05）；治疗组糖化血红蛋白水平显著低于对照组（P＜0．05）；两组患者MMSE及MoCA量表评分均较治疗前有显著改善（P＜0．05），治疗组改善更为显著（P＜0．05）。结论降糖活血方治疗糖尿病性脑梗死疗效肯定，有助于患者认知能力的恢复。

Clinical evaluation on the recipe of Jiangtanghuoxue in the treatment of diabetic patients with cerebral infrac-tion

Objective To explore the clinical effects of recipe of Jiangtanghuoxue in the treatment of diabetic cerebral infarction and recovery of cognitive function .Methods 54 patients with diabetic cerebral infarction were se-lected and divided into control group and treatment group evenly and randomly .Control group received regular treat-ment,while treatment group received additional treatment of recipe of Jiangtanghuoxue .Total efficacy,level of HbA1c were detected ,MMSE and MoCA were used to test the cognitive function .Results Total efficacy in the treatment group（88.89%） was significantly higher than 70.57% of the control group （χ2 =4.358,P〈0.05）;The level of HbA1c was significantly lower in treatment group than that in the control group （P〈0.05）;score of MMSE and MoCA improved significantly after treatment for all patients（P〈0.05）,but more significantly in the treatment group（P〈0.05）. Conclusion Recipe of Jiangtanghuoxue is suitable in the treatment of diabetic cerebral infarction ,improving cognitive function at the same time .