摘要
目的 探讨补阳还五汤治疗气虚血瘀型急性脑梗死对患者病灶大小及神经功能缺损的改善效果。方法 选取广东省江门市五邑中医院60例气虚血瘀型急性脑梗死患者进行研究,患者收治时间为2017年6月—2018年10月,按照治疗方案的不同分为对照组(30例)和观察组(30例),对照组予以法舒地尔注射液治疗,观察组加用补阳还五汤治疗,比较2组临床效果及治疗前后病灶大小、中国脑卒中临床神经功能缺损程度量表(CSS)评分分布情况。结果 观察组治疗总有效率96.67%(29/30)较对照组的80.00%(24/30)高(P <0.05);治疗前2组病灶大小比较,差异无统计学意义(P>0.05),治疗后观察组中、大梗死灶所占比例明显低于对照组(P <0.05);2组治疗前CSS评分分布情况比较,差异无统计学意义(P>0.05),治疗后观察组中、重度损伤患者比例明显低于对照组(P <0.05)。结论 对气虚血瘀型急性脑梗死患者的救治中联合应用补阳还五汤,可进一步优化治疗效果,促进梗死灶吸收及神经功能改善,值得推广。
Objective To explore the effect of Buyang Huanwu decoction on the size of lesions and neurological deficit in patients with acute cerebral infarction of qi deficiency and blood stasis type.Methods 60 patients with acute cerebral infarction of qi deficiency and blood stasis type in Wuyi Hospital of Traditional Chinese Medicine were selected for study.The patients were treated from June 2017 to October 2018.According to different treatment schemes,they were divided into control group(30 cases)and observation group(30 cases).The control group was treated with fasudil injection,and the observation group was treated with Buyang Huanwu decoction.The clinical effect and the proportion of lesion size before and after treatment,the proportion of neurological deficit(CSS)score were compared between the two groups.Results The total effective rate of the observation group was 96.67%(29/30),which was higher than that of the control group(80.00%)(24/30)(P<0.05).Before treatment,there was no significant difference in lesion size between the two groups(P>0.05).After treatment,the proportion of large infarcts in the observation group was significantly lower than that in the control group(P<0.05).The comparison of CSS score distribution between the two groups before treatment showed no statistical significance(P>0.05).After treatment,the proportion of patients with moderate and severe injury in the observation group was significantly lower than that in the control group(P<0.05).Conclusion The combined application of Buyang Huanwu decoction in the treatment of acute cerebral infarction of qi deficiency and blood stasis type can further optimize the therapeutic effect,promote the absorption of infarct focus and improve neurological function,which is worthy of popularization.
作者
嵇远洋
张玉娥
吕小亮
黄金涛
JI Yuanyang;ZHANG Yu’e;LYU Xiaoliang;HUANG Jintao(Medical Insurance Department,Wuyi Hospital of Traditional Chinese Medicine,Guangdong Province,Jiangmen 529031,China;Department of Encephalopathy,Wuyi Hospital of Traditional Chinese Medicine,Guangdong Province,Jiangmen 529031,China)
出处
《中国中医药现代远程教育》
2023年第11期99-101,共3页
Chinese Medicine Modern Distance Education of China
基金
广东省江门市科学技术局科技计划项目【No.2017A1016】。
关键词
中风
急性脑梗死
补阳还五汤
气虚血瘀证
中医药疗法
stroke
acute cerebral infarction
Buyang Huanwu decoction
syndrome of qi deficiency and blood stasis
therapy of traditional Chinese medicine
