芪参归汤联合丁苯酞注射液治疗脑梗死患者的临床疗效

Clinical Effect of Qishengui Decoction Combined with Butylphthalide Injection in Treatment of Cerebral Infarction Patients

目的 探讨脑梗死患者给予芪参归汤联合丁苯酞注射液治疗的临床疗效。方法 非随机选取2023年4—10月常宁市中医医院收治的200例脑梗死患者为研究对象,按治疗方式分成两组,各100例。对照组使用丁苯酞注射液治疗,观察组联合芪参归汤治疗,对比两组的疗效、生化指标水平、神经功能缺损评分、全血黏度、血浆黏度、低切黏度、高切黏度。结果 观察组治疗总有效率为93.00%(93/100),高于对照组的73.00%(73/100),差异有统计学意义(χ^(2)=14.174,P<0.05)。观察组的生化指标水平优于对照组,差异有统计学意义(P均<0.05)。观察组的神经功能缺损评分、全血黏度、血浆黏度、低切黏度、高切黏度均低于对照组,差异有统计学意义(P均<0.05)。结论 芪参归汤联合丁苯酞注射液治疗脑梗死可以改善患者的生化指标水平及全血黏度、血浆黏度水平,减轻神经功能缺损。

Objective To investigate the clinical efficacy of Qishengui decoction combined with butylphthalide injection in patients with cerebral infarction.Methods 200 patients with cerebral infarction admitted to Changning Hospital of Traditional Chinese Medicine from April to October 2023 were non-randomly selected and divided into two groups according to the treatment method,with 100 cases in each group.The control group was treated with butylphthalide injection,and the observation group was treated with Qishengui decoction.The efficacy,biochemical index level,neurological deficit score,whole blood viscosity,plasma viscosity,low shear viscosity and high shear viscosity were compared between the two groups.Results The total effective rate of treatment in the observation group was93.00%(93/100),which was higher than 73.00%(73/100) in the control group,and the difference was statistically significant (χ^(2)=14.174,P<0.05).The biochemical index level of the observation group were better than those of the control group,and the differences were statistically significant (all P<0.05).The neurological deficit score,whole blood viscosity,plasma viscosity,low shear viscosity and high shear viscosity of the observation group were lower than those of the control group,and the differences were statistically significant (all P<0.05).Conclusion Qishengui decoction combined with butylphthalide injection in the treatment of cerebral infarction can improve the levels of biochemical indexes,whole blood viscosity and plasma viscosity,and reduce neurological deficits.