中西医结合治疗缺血性中风病痰瘀互结兼阴虚证临床观察

Clinical Observation for Integrated Therapeutic Intervention of Stroke Patients Specified with Syndrome of Phlegm and Blood Stasis and Yin Deficiency

目的:评价中西医结合方案治疗缺血性中风病恢复期痰瘀互结兼阴虚证临床疗效。方法:将缺血性中风病恢复期痰瘀互结兼阴虚证患者随机分为试验组、对照组,试验组采用西医基础治疗结合中药组方,对照组采用西医基础治疗,疗程为4周,以中医证候评价量表、日常生活活动能力(ADL)评定治疗前后的疗效。结果:治疗后,证候疗效评价量表方面,试验组较对照组,次要症状即痰症状、瘀症状、阴虚症状有明显改善;ADL方面,试验组较对照组有所好转。结论:中西医联合干预措施治疗能改善缺血性中风病患者的临床症状、日常生活能力,从而提高患者的生存质量。

Objective： To evaluate the clinical effectiveness of the integrated therapeutic intervention for patients with ischemic stroke in the restoration stage who are differentiated as phlegm and blood stasis with Yin deficiency.Methods： Patients were divided into two groups randomly.The integrated therapeutic intervention was applied to the experimental group while the western basic therapy to the control group for four weeks.In order to evaluate the clinical effectiveness,traditional Chinese medical syndrome evaluation questionnaire and activity of daily living（ADL） were used.Result： As to the traditional Chinese medical syndrome evaluation questionnaire,the secondary symptoms such as phlegm,blood stasis and Yin deficiency were improved significantly between the two groups.As to ADL,the experimental group was better than control group.Conclusion： The integrated therapeutic intervention shows effect among patients with ischemic stroke in the restoration stage,which can improve the clinical manifestation and daily activity.