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目的 :观察星状神经节封闭治疗早期缺血性脑血管病疗效。方法 :用随机双盲法把缺血性脑血管病分为实验组和对照组各 12 0例。其中实验组急性早期脑梗塞 84例 ,短暂性脑缺血发作 (TIA) 36例 ,除常规治疗外 ,给予星状神经节封闭治疗 ;对照组急性早期脑梗塞 84例 ,TIA 2 4例 ,仅给予常规治疗。结果 :脑梗塞用参照单位分析 (Ridanalysis) ,实验组 95 %可信限为 0 5 0 8～ 0 6 34,对照组 95 %可信限为 0 381～ 0 499,两组可信限不重叠 ,则在 5 %水准上差异显著 ,P <0 0 5 ;TIA用四格表统计 ,结果为 χ2 =7 346P <0 0 1,差异显著。结论 :星状神经节封闭治疗急性早期脑梗塞 ,TIA有较好的疗效。
Objective: To observe the efficacy of stellate ganglion blockade in the treatment of early ischemic cerebrovascular disease. Methods: Randomized double-blind method was used to divide ischemic cerebrovascular disease into experimental group and control group with 120 cases each. Among them, 84 cases of acute cerebral infarction and 36 cases of transient ischemic attack (TIA) in the experimental group were given stellate ganglion block treatment. In the control group, 84 cases were acute early cerebral infarction and TIA was 24 cases Give routine treatment. Results: The cerebral infarction was analyzed by Ridanalysis. The 95% confidence limits of the experimental group were from 0.058 to 0.344, while the 95% confidence limits of the control group were from 0 381 to 0 499. The confidence limits of the two groups did not overlap , There was a significant difference at the level of 5%, P <0 0 5; TIA with four grid table statistics, the result was χ2 = 7 346P <0 0 1, the difference was significant. Conclusion: Stellate ganglion blockade is effective in treatment of acute early cerebral infarction with TIA.