温补脾肾化痰通络法治疗中风后痉挛性偏瘫的临床观察

发布时间：2018-02-20 04:42

本文关键词： 温补脾肾化痰通络痉挛性偏瘫临床研究　出处：《山东中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的:研究运用温补脾肾、化痰通络法治疗中风后痉挛性偏瘫的理论与临床价值,从而为治疗痉挛性偏瘫提供新的思路。方法:选择符合中风后恢复期痉挛性偏瘫的脾肾阳虚、痰瘀滞络证诊断标准的60例患者,随机分成观察组30例,对照组30例。保证两组患者在性别、年龄、病史、痉挛程度、日常生活活动能力等方面无统计学差异的基础上,两组患者均给予常规西药治疗。观察组给予中药真武汤加减同时配合常规治疗加妙纳;对照组给予妙纳加常规治疗,分别观察治疗1月、2月后的中医证候、痉挛程度、日常生活活动能力和中风病疗效。结果:在整个实验过程中所有患者均具有较好的依从性,能够积极协助完成本次实验研究。最后的实验结果显示观察组患者在中医证候群、痉挛程度、中风病疗效评分和日常生活能力评分等各方面均均优于对照组。结论:本研究结果显示真武汤加减对治疗脾肾阳虚、痰瘀滞络证的中风后痉挛性偏瘫临床疗效显著,能明显促进患者偏瘫侧肢体的恢复,降低患侧的肌张力,改善患者的生活能力,提高患者的生活质量,因此运用温补脾肾、化痰通络法治疗痉挛性偏瘫可推广应用于临床。
[Abstract]:Objective: to study the theory and clinical value of treating spastic hemiplegia after apoplexy with the method of warming spleen and kidney and removing phlegm and dredging collaterals, so as to provide a new idea for treatment of spastic hemiplegia. Sixty patients with phlegm stagnation syndrome were randomly divided into observation group (n = 30) and control group (n = 30). Both groups were treated with routine western medicine. The observation group was treated with traditional Chinese medicine Zhenwu decoction plus routine treatment plus Miao Na, while the control group was treated with Miao Na plus routine therapy, respectively, to observe the TCM syndromes and the degree of spasm after January and February. Results: during the whole experiment, all the patients had good compliance and could actively assist in the completion of the experimental study. Finally, the results of the experiment showed that the patients in the observation group were in the TCM syndrome group. The degree of spasm, the score of curative effect of apoplexy and the score of daily living ability were all superior to those of the control group. Conclusion: the results of this study show that Zhenwu decoction has a significant clinical effect on the treatment of post-stroke spastic hemiplegia with deficiency of spleen and kidney yang and stagnation of phlegm and stagnation of collaterals. It can obviously promote the recovery of hemiplegic limbs, reduce the muscle tension of the affected side, improve the living ability of the patients and improve the quality of life of the patients. Therefore, the treatment of spastic hemiplegia with the method of warming spleen and kidney and removing phlegm and dredging collaterals can be popularized and applied in clinical practice.
【学位授予单位】：山东中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R277.7

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