补阳还五汤合银杏达莫治疗脑梗死疗效观察

Curative Effect Observation of Decoction of Bu-yang Huan-wu and Ginkgo-dipyridamole on Cerebral Infarction

目的：观察补阳还五汤合银杏达莫结合西医常规疗法治疗脑梗死的疗效。方法：将46例脑梗死患者随机分为治疗组和对照组，对照组22例予常规西药治疗，治疗组24例在常规西药治疗基础上予补阳还五汤合银杏达莫治疗，3周后评定疗效。结果：治疗组痊愈7例，显效9例，有效6例，无效2例，总有效率为91．67％（95％CI=73．00％～90．00％）；对照组痊愈5例，显效6例，有效5例，无效6例，总有效率为72．73％（95％CI=54．12％～91．34％）；两组综合疗效比较无显著性意义（u=1．2335，P〉0．05）；2组治疗后神经功能缺损均较治疗前有明显改善，治疗组治疗后神经功能缺损改善与对照组比较（t=-2．5037，P〈0．05），有显著性差异。结论：补阳还五汤舍银杏达莫结合西药治疗脑梗死疗效优于单用常规西药常规治疗，但证据有待进一步扩大病例数加以验证。

Objective ： To observe the curative effect of Decoction of Bu-yang Huan-wu combined with Ginkgodipyridamole and western medicine on cerebral infarction. Method： 46 cases with cerebral infarction were divided into two groups randomly. 22 cases in control group were treated with conventional western therapy, and 24 ones in treatment group were done with Decoction of Bu-yang Huan-wu and Ginkgo-dipyridamole besides conventional western therapy. One treatment course included 3 weeks. Result： In treatment group 7 cases were recovered, 9 ones excellent, 6 ones effective, and 2 ones ineffective. The total effective rate was 91.67% （95% CI = 73.00% -90.00% ）. In control group 5 cases were recovered, 6 ones excellent, 5 ones effective, and 6 ones ineffective. The total effective rate was 72. 73% （95% CI = 54. 12% -91.34% ）. There was significant difference between the two groups （u = 1. 233 5,P 〉 0. 05）. Neurologic impairment was improved in the two groups after treatment, but treatment group did better than control group, and the difference was significant （P 〈 0. 05）. Conclusion： The curative effect of Decoction of Bu-yang Huan-wu and Ginkgo-dipyridamole combined with western medicine was better than only western medicine on cerebral infarction, but more cases need increasing and more evidences should be collected.