血逐府瘀汤加减治疗老年性脑梗塞的临床观察

Clinical Observation of Modified Xuefu Zhuyu Decoction on Treating Senile Cerebral Infarction

目的:观察血逐府瘀汤加减治疗老年性脑梗塞的临床疗效。方法:2003年1月至2009年1月,150例急性老年脑梗死随机分为两组,对照组75例仅采用常规治疗,观察组75例在此基础上采用血逐府瘀汤加减治疗,对比观察治疗前后两组的临床疗效、神经功能缺损程度及中医证候积分的变化。结果:观察组的总有效率为89.3%,明显高于对照组的73.3%(P<0.05)。两组治疗后神经功能缺损程度评分、中医证候积分明显下降(P<0.05),并且观察组神经功能缺损程度评分、中医证候积分明显低于同期对照组(P<0.05)。结论:血逐府瘀汤加减对老年性脑梗塞进行治疗,有助于临床疗效的提高以及神经功能的改善,值得临床推广应用。

Objective： To observe the clinical effect of Modified Xuefu Zhuyu Decoction on treating senile cerebral infarction. Methods： From January 2003 to January 2009, 150 cases of senile cerebral infarction were randomly divided into two groups, control group with 75 eases were treated with normal therapy and observation group with 75 cases were treated with Modified Xuefu Zhuyu Decoction on basis of normal therapy. The effective rate, neurologic impairment degree, traditional Chinese medicine syndrome score between the two groups were compared. Results： The effective rate in observation group was 89. 3% , significantly higher than that in control group with 73. 3% （ P〈0. 05 ）. After treatment, the neurologie impairment degree and traditional Chinese medicine syndrome score were significantly decreased in both groups （P〈O. 05 ）. Moreover, neurologic im- pairment degree and traditional Chinese medicine syndrome score in observation group were significantly lower than that in control group （P〈0.05 ）. Conclusion： Modified Xuefu Zhuyu Decoction in treatment with cerebral infarction can enhance clinical effect, improve the neurologic function and degrade the traditional Chinese medicine syndrome score, which can be applied in clinic.