补阳还五汤加味干预气虚血瘀型缺血性脑中风康复的疗效观察

发布时间：2018-12-23 10:11

【摘要】：目的:观察补阳还五汤加味干预气虚血瘀型缺血性脑中风康复期患者,观察其疗效。方法:使用随机平行对照方法,将72例住院患者按病志号抽签方法随机分为两组,对照组36例采用常规西药治疗(控制血糖、血压、降纤、抗凝等)及康复运动训练;治疗组36例在对照组治疗基础上服用补阳还五汤加味2次/d,150 m L/次,饭后半小时后服用,连续治疗30 d为1个疗程,随访跟踪6个疗程,观测患者临床疗效及神经功能缺损评分(NDS)变化情况,血小板聚集率及CT诊断比较。结果:治疗组基本恢复9例,显著进步18例,进步7例,无变化2例,总有效率94.44%。对照组基本恢复6例,显著进步11例,进步10例,无变化9例,总有效率75.0%。治疗组疗效优于对照组(P0.05)。结论:在常规西药治疗基础上联合补阳还五汤加味干预康复期气虚血瘀型缺血性脑中风能够取得更为满意的康复疗效,无不良反应,值得临床推广。
[Abstract]:Objective: to observe the therapeutic effect of Buyang Huanwu decoction (BHD) on ischemic cerebral apoplexy with qi deficiency and blood stasis. Methods: 72 inpatients were randomly divided into two groups by drawing lots according to the number of diseases. 36 cases in the control group were treated with routine western medicine (blood glucose control, blood pressure, defibrillation, anticoagulant, etc.) and rehabilitation exercise training. 36 cases in the treatment group were treated with Buyang Huanwu decoction twice a time / d 150 mL / time, half an hour after meals, 30 days as a course of treatment, and 6 courses of follow-up were followed up on the basis of the treatment in the control group. The clinical efficacy and neurological impairment score (NDS), platelet aggregation rate and CT diagnosis were compared. Results: in the treatment group, 9 cases recovered, 18 cases improved significantly, 7 cases improved, 2 cases showed no change, the total effective rate was 94.4444. In the control group, 6 cases recovered, 11 cases improved significantly, 10 cases improved, 9 cases showed no change, the total effective rate was 75.0%. The curative effect of the treatment group was better than that of the control group (P0.05). Conclusion: the combination of Buyang Huanwu decoction and Buyang Huanwu decoction in treating ischemic cerebral apoplexy of Qi deficiency and blood stasis type in convalescent period can obtain more satisfactory curative effect without adverse reaction, so it is worth popularizing in clinic.
【作者单位】：沈阳市第二中医院神经内科;
【分类号】：R743.3

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