脑梗死急性期(气虚血瘀证)行自拟益气通脉汤治疗的临床效果观察

Clinical observation on treating acute cerebral infarction(Qixu Xueyu syndrome) with the Yiqi Tongmai decoction

目的:观察并分析脑梗死急性期(气虚血瘀症)行自拟益气通脉汤治疗的临床效果。方法:资料随机选自2011年9月-2013年9月本院诊治的急性期气虚血瘀型脑梗死患者90例,按照完全随机法1∶1分成两组,在内科对症处理基础上,45例对照组患者行西医常规治疗,45例研究组患者行自拟益气通脉汤治疗,比较两组患者的中医症状改善情况与临床效果。结果:治疗后,研究组患者的言语謇涩、气短乏力、半身不遂、口舌喎斜积分以及NIHSS评分均明显低于对照组,有统计学意义(P<0.05);研究组患者的BI评分与VEGF水平均明显高于对照组,有统计学意义(P<0.05)。结论:急性期气虚血瘀型脑梗死应用自拟益气通脉汤治疗的临床治疗效果显著,值得临床推广与应用。

Objective： To observe clinical effects of the Yiqi Tongmai decoction on acute cerebral infarction （Qixu Xueyu syndrome）. Methods： 90 patients were randomly divided into two groups, 45 patients in the control were given the routine western medicine, 45 patients in the research were given the Yiqi Tongmai decoction. Results： Yanyu Jianse, Qiduan Fali, fatigue, hemiplegia, and NIHSS score in the research were obviously lower, the difference was statistically significant （P〈0.05）; BI and VEGF level in the research were obviously higher, the difference was statistically significant （P〈0.05）. Conclusion： The Yiqi Tongmai decoction shows good effects on acute cerebral infarction, was worthy of application.