益气活血法在急性脑卒中神经功能缺损治疗中的疗效观察

发布时间：2018-08-12 15:52

【摘要】：目的证实益气活血法在恢复急性脑卒中患者神经功能方面的有效性。对比中西医结合治疗与单纯西医疗法在临床结果方面的差异性。方法将新疆哈密地区中心医院神经内科自2015年1月至2016年3月间收治的90例急性脑卒中(缺血性脑卒中,中医辩证为气虚血瘀者)按照入院先后顺序随机分为观察组及对照组,每组各45例,其中对照组实施常规西医治疗,观察组在对照组的基础上给予益气活血中药(补阳还五汤加减)治疗,连续治疗2周后,分析两组患者的神经功能缺损情况及临床治疗效果。结果治疗结束后,观察组神经功能缺损评分为(7.28±0.63),明显优于对照组(10.59±±0.97),且差异具有统计学意义；观察组患者的生活质量评分为(79.144±2.67),亦明显优于对照组(68.42±4.58),差异具有统计学意义；观察组患者的总体有效率为91.1%,明显高于对照组(75.6%),差异具有统计学意义。结论1.益气活血法有利于保护和修复缺血性脑卒中患者的神经功能；2.益气活血法可有效改善临床治疗效果,提高患者的生活质量。3.益气活血中药联合西医常规治疗较单纯西医治疗临床效果更为明显。
[Abstract]:Objective to confirm the effectiveness of invigorating qi and activating blood circulation method in restoring neurological function in patients with acute stroke. Compare the difference of clinical results between traditional Chinese and western medicine combined therapy and simple western medicine therapy. Methods from January 2015 to March 2016, 90 patients with acute cerebral apoplexy were randomly divided into observation group and control group according to the order of admission. There were 45 cases in each group. The control group was treated with routine western medicine, while the observation group was treated with traditional Chinese medicine (Buyang Huanwu decoction) on the basis of the control group. After 2 weeks of continuous treatment, To analyze the condition of nerve function defect and the effect of clinical treatment in the two groups. Results after the treatment, the neurological deficit score of the observation group was (7.28 卤0.63), which was significantly better than that of the control group (10.59 卤0.97), and the difference was statistically significant, and the quality of life score of the observation group was (79.144 卤2.67), which was significantly better than that of the control group (68.42 卤4.58). The total effective rate of the observation group was 91.1%, which was significantly higher than that of the control group (75.6%). Conclusion 1. Yiqi Huoxue method is beneficial to protect and repair the neurological function of ischemic stroke patients. Yiqi Huoxue method can effectively improve the effect of clinical treatment, improve the quality of life of patients. 3. The clinical effect of traditional Chinese medicine combined with western medicine is more obvious than that of western medicine alone.
【学位授予单位】：新乡医学院
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R277.7

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