益气活血通络汤联合西药治疗气虚血瘀型缺血性脑卒中恢复期临床观察
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Clinical Observation of Yiqi Huoxue Tongluo Tang Combined with Western Medicine for Ischemic Stroke in Recovery Stage of Qi Deficiency and Blood Stasis Type
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    摘要:

    目的:观察益气活血通络汤联合西药治疗气虚血瘀型缺血性脑卒中恢复期的临床疗效。方法:选取120例气虚血瘀型缺血性脑卒中恢复期患者,随机分为对照组和观察组各60例。对照组采用常规西药治疗,观察组在对照组治疗基础上加用益气活血通络汤,2组患者均治疗8周。评估治疗效果,观察2组治疗前后中医证候积分、美国国立卫生研究院卒中量表(NIHSS)、改良Rankin量表、痉挛指数(CSI)及改良Ashworth量表评分的变化。结果:对照组总有效率79.31%,观察组总有效率96.55%,2组比较,差异有统计学意义(P<0.05)。治疗4周和8周后,2组中医证候积分、NIHSS及改良Rankin量表评分均较治疗前降低(P<0.05);观察组3项评分均低于对照组同期(P<0.05)。治疗后,2组CSI、改良Ashworth量表评分均较治疗前降低(P<0.05),BI均较治疗前升高(P<0.05);观察组CSI及改良Ashworth量表评分均低于对照组(P<0.05),BI高于对照组(P<0.05)。结论:益气活血通络汤联合西药治疗能有效改善气虚血瘀型缺血性脑卒中恢复期患者的临床症状,促进患者神经功能的恢复和提高日常生活能力。

    Abstract:

    Objective: To observe the clinical effect of Yiqi Huoxue Tongluo tang combined with western medicine for ischemic stroke in recovery stage of qi deficiency and blood stasis type.Methods:Divided 120 cases of patients with ischemic stroke of qi deficiency and blood stasis type in recovery stage randomly into the control group and the observation group,60 cases in each group.Both groups were given routine western medicine for treatment,while the observation group was additionally given Yiqi Huoxue Tongluo tang.Both groups receivedtreatment for 8 weeks.Evaluated the clinical effect.Observed changes of scores of Chinese medicine syndrome,National Institutes of Health stroke scale(NIHSS),modified Rankin scale,clinical spasticity indexes(CSI),scores of modified Ashworth scale and Barthel indexes(BI)before and after treatment.Results:The total effective rate was 79.31%in the control group and was 96.55%in the observation group,the difference being significant(P< 0.05).After treatment of four and eight weeks,scores of Chinese medicine syndrome,NIHSS and modified Rankin scale in both groups were decreased when compared with those before treatment(P<0.05).The above three scores in the observation group were lower than those in the control group at the same period(P<0.05).After treatment,CSI and scores of modified Ashworth scale in both groups were decreased when compared with those before treatment,while BI in both groups were increased when compared with those before treatment(P < 0.05).CSI and scores of modified Ashworth scale in the observation group were lower than those in the control group(P < 0.05),while BI in the observation group was higher than that in the control group(P<0.05).Conclusion:The therapy of Yiqi Huoxue Tongluo tang combined with western medicine for ischemic stroke in recovery stage of qi deficiency and blood stasis type can effectively improve clinical symptoms,promote the recovery of nerve function and enhance activity of daily living of patients.

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傅雅萍,季晓东.益气活血通络汤联合西药治疗气虚血瘀型缺血性脑卒中恢复期临床观察[J].新中医,2018,50(3):46-49

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  • 在线发布日期: 2018-03-04
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