摘要
[目的]观察芍药甘草汤联合西医治疗中风后痉挛性偏瘫腹泻疗效。[方法]使用随机平行对照方法,将40例门诊患者按抽签法简单随机分为两组。降糖、降压、纠正水电解质紊乱和酸碱平衡。对照组20例巴氯芬,初始剂量5mg,3次/d,后逐量增加,每3d加5mg,直至90mg/d。治疗组20例芍药甘草汤(伸筋草、木瓜、生白芍各30g,地龙、川芎、甘草各10g,丹参15g,生姜、当归、桂枝各6g,大枣5枚),1剂/d,水煎200m L,早晚口服。连续治疗10d为1疗程。观测临床症状、中风病灶、不良反应。连续治疗7疗程,判定疗效。[结果]治疗组痊愈10例,显效5例,有效4例,无效1例,总有效率95.00%。对照组痊愈7例,显效6例,有效3例,无效4例,总有效率80.00%。治疗组疗效优于对照组(P<0.05)。[结论]芍药甘草汤联合西医治疗中风后痉挛性偏瘫效果显著,值得推广。
[ Objective ] Shaoyao gancao soup combined effect of diarrhea spastic hemiplegia after stroke intervention practices. [ Methods ] Random parallel control method, 40 outpatients by lottery method is simple randomized into two groups. Blood glucose, blood pressure, correct water and electrolyte imbalance and acid- base balance. A control group of 20 patients baclofen tablets, the initial dose 5mg, 3 times/d, increased gradually after every 3d plus 5mg, until 90mg / d. Treatment group 20 cases Shaoyao gancao soup （lycopodii, papaya, raw white peony root 30g, earthworm, root, licorice 10g, Salvia 15g, ginger, angelica, cassia twig 6g, jujube 5）, l/d, decoction 200mL, sooner or later orally. 10d is a continuous course of treatment. Observing clinical symptoms of adverse reactions. 7 continuous course of treatment to determine efficacy. [ Results ] The cure 10 cases, 5 cases markedly effective in 4 cases, 1 case, the total efficiency of 95.00%. The control group healed in 7 cases, 6 cases were markedly effective in 3 cases, 4 cases, the total efficiency 80.00%. Treatment group than the control group （P〈0.05）. [ Conclusion ] Peony and licorice decoction combined with conventional intervention spastic hemiparesis after stroke effect is significant, it is worth promoting.
出处
《实用中医内科杂志》
2014年第11期112-114,共3页
Journal of Practical Traditional Chinese Internal Medicine
关键词
中风后痉挛性偏瘫
芍药甘草汤
巴氯芬
中风病灶
随机平行对照研究
Spastic hemiplegia after stroke
Shaoyao gartcao soup
Baclofen tablets
Stroke lesions
Randomized parallel group study
