清脑舒络汤联合阿托伐他汀钙治疗中风恢复期患者的临床观察

发布时间：2018-02-02 22:18

本文关键词： 清脑舒络汤中风恢复期阿托伐他汀钙　出处：《中成药》2017年10期 　论文类型：期刊论文

【摘要】：目的探讨清脑舒络汤(自拟汤剂)联合阿托伐他汀钙治疗中风恢复期患者的临床观察。方法根据选取标准,选择2015年11月—2016年5月期间在我院神经内科进行中风恢复期治疗的186例患者,并随机分为两组,其中对照组采用阿托伐他汀钙进行治疗,观察组患者则采用清脑舒络汤(自拟汤剂)联合阿托伐他汀钙进行治疗,最终比较两组患者的治疗效果和神经功能的恢复情况。结果实验结果表明,观察组的治疗有效率为95.60%,显著高于对照组的83.70%,两组之间的差异有统计学意义(P0.05);中医症候治疗效果比较中,观察组的90.11%的有效率显著高于对照组的82.61%(P0.05);另外,与对照组相比,观察组治疗后的神经功能缺损评分(NIHSS)、Fugl-Meyer运动功能评分(FMA)、日常生活能力(BI)指数评分均有明显改善,其差异具有统计学意义(P0.05);治疗后,两组患者的血液流变学指标(红细胞压积、血沉、红细胞电泳、全血黏度、血浆黏度)均降低,且观察组的血液流变学指标水平均明显低于对照组,具有统计学差异(P0.05)。结论清脑舒络汤(自拟汤剂)联合阿托伐他汀钙治疗中风恢复期的效果显著,能改善患者的神经功能,增强肢体的运动能力,祛瘀舒络,具有积极的临床治疗意义。
[Abstract]:Objective to explore the clinical observation of Qingnaoshuluo decoction (self-made decoction) combined with Atto vastatin calcium in the treatment of patients with convalescent stroke. From November 2015 to May 2016, we selected 186 patients who were treated in the neurology department of our hospital during the recovery period of stroke, and were randomly divided into two groups. The control group was treated with Atto vastatin calcium. The patients in the observation group were treated with Qingnaoshuluo decoction (self-made decoction) combined with Atto vastatin calcium. Finally, the curative effect and the recovery of nerve function were compared between the two groups. The effective rate of treatment in the observation group was 95.60, which was significantly higher than that in the control group (83.70). The difference between the two groups was statistically significant (P 0.05). The effective rate of 90.11% in the observation group was significantly higher than that in the control group (82.61). In addition, compared with the control group, the neurological impairment score (NIHSS) and Fugl-Meyer motor function score (FMAs) were evaluated after treatment in the observation group. The score of activity of daily living (BI) index was improved obviously, and the difference was statistically significant (P 0.05). After treatment, the hemorheological indexes (hematocrit, erythrocyte sedimentation rate, erythrocyte electrophoresis, whole blood viscosity, plasma viscosity) of the two groups were decreased, and the level of hemorheological indexes in the observation group was significantly lower than that in the control group. Conclusion Qingnaoshuluo decoction (self-made decoction) combined with Atto vastatin calcium treatment of stroke recovery stage of the effect is significant, can improve the patient's nerve function, enhance the limb motor ability. Dispelling blood stasis and soothing collaterals has positive clinical significance.
【作者单位】：渭南市临渭区中医医院内二科;
【分类号】：R743.3
【正文快照】： 随着社会老龄化进程的发展,中风成为中老年人较为常见的神经内科性疾病,具有较高的发病率和致死率,严重影响着患者及家人的身心健康[1]。近年来,随着医疗水平的提高,临床上对此病的救治成功率有了显著提高,大大降低了患者的死亡率,但对于中风后遗症的恢复期治疗仍是临床上的难

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