补阳还五汤对早期危重症脑卒中患者康复的影响分析

Analysis on Effect of Buyang Huanwu Decoction on Early Rehabilitation of Severe Stroke

目的:观察补阳还五汤对早期危重症脑卒中患者康复的疗效。方法:将60例患者随机分为观察组(28例)和对照组(32例)。两组患者均采用常规西医对症支持治疗和早期康复训练,观察组加用中药补阳还五汤。结果:观察组、对照组总有效率分别为89.29%、78.12%;组间临床疗效比较,差异有统计学意义(P<0.05)。治疗后两组NIHSS和CSS评分均降低,观察组与本组治疗前比较,第14 d和第21 d差异均有显著性意义(P<0.05);对照组与本组治疗前比较,第21 d差异均有显著性意义(P<0.05);治疗后第21d组间比较,差异均有显著性意义(P<0.05)。观察组、对照组治疗后第180dBI指数≥85分者分别为20例(71.43%)、18例(56.25%);组间临床疗效比较,差异有统计学意义(P<0.05)。结论:联合补阳还五汤对早期危重症脑卒中患者康复具有良好疗效,能减轻患者神经功能缺损程度,提高患者生活自理能力。

Objective：To observe the effect of Buyang Huanwu Decoction on the early rehabilitation of the stroke. Methods： 60 patients were randomly divided into experimental group （n = 28 ） and control group （n = 32 ）. Two groups were both treated with supporting treatment of routine Western medicine and early rehabilitation training and observation group were treated with traditional Chinese medicine Buyang Huanwu Decoction. Results：Total effective rates of the two groups were 89.29% and 78.12%, respectively. Comparison of clinical efficacy between the two groups had statistical significance P 〈 0.05. The scores of NIHSS and CSS were declined after treatment in two groups and experimental group compared with the pre -treatment, there was significantly difference on the 14th day and the 21st day（P 〈 0.05 ）. Con- trol group compared with the pre -treatment, the 21st day had a significant difference. Comparison of the 21st day group of post- treatment, and the differences were all significant （P 〈 0.05 ）. Observation group and control group after 180d treatment with BI index≥85 had 20 cases （71.43%） , 18 cases （56.25%） ,respectively. The clinical efficacy between the groups had significant differences （ P 〈 0.05 ）. Conclusion ： Combined with Buyang Huanwu Decoction, it has a good effect on early rehabilitation treatment of critical patients with stroke. It may alleviate neurological function impairment of the patients, and improve their self - care ability.