灯盏生脉胶囊联合针刺治疗缺血性中风恢复期60例临床观察

Clinical Observation on the Treatment of Dengzhan Shengmai Capsule plus Acupuncture in the Recovery Stage of Ischemic Windstroke—A Report of 60 Cases

目的评价灯盏生脉胶囊联合针刺治疗缺血性中风恢复期的临床疗效。方法选择缺血性中风恢复期患者60例,随机分为治疗组和对照组各30例。对照组给予肠溶阿司匹林片75mg口服、现代康复锻炼以及基础病的治疗,治疗组在此基础上加用灯盏生脉胶囊及针刺疗法,2周为1个疗程,连用6个疗程后判断临床疗效,并观察两组患者治疗后症状改善率及并发症情况。结果治疗组总有效率83.3%,对照组总有效率73.3%,两组比较差异有统计学意义(P<0.05);在改善口舌歪斜、言语謇涩、气短乏力、感觉减退、肢体麻木、舌质紫暗及舌苔白腻方面治疗组有效率高于对照组(P<0.05或P<0.01);治疗组在减少并发症方面优于对照组(P<0.05)。结论灯盏生脉胶囊联合针灸治疗缺血性中风恢复期的患者疗效确切且并发症少。

Objective To evaluate the effect of Dengzhan Shengmai Capsule （Erigeron breviscapus capsule for windstroke） plus acupuncture in the treatment of recovery stage of ischemic windstroke.Methods The 60 enrolled patients were randomized into a treatment group and a control group with 30 in each. The control group was orally administered enteric-coated Aspirin tablets （75mg）,exercise training rehabilitation,and treatment for basic diseases,based on which,the treatment group was treated with Dengzhan Shengmai Capsule and acupuncture. Two weeks as one course,and six courses in total. Then,the therapeutic effect was evaluated,and the observation on the improvement of symptoms and incidence of complications were conducted.Results The total effective rate of the treatment group and the control group was 83.3% and 73.3% in respectively,the difference between was significant （P〈0.05）. The effective rate of improvement in deviation of mouth and tongue,speech difficulties,shortness of breath,tiredness,hypesthesia,numbness of limbs,purple dark tongue,and white sticky tongue coating in the treatment group was higher than that in the control group （P〈0.05 or P〈0.01）. In reducing the incidence of complications,the treatment group was better than the control group （P〈0.05）.Conclusion The effect of Dengzhan Shengmai Capsule plus acupuncture on ischemic windstroke in the recovery stage is confirmed and the incidence of complications is less.