生半夏在治疗中风后遗症中的应用价值研究

Application Value of Raw Pinellia in the Treatment of Stroke Sequelae

目的：探讨生半夏在辅助治疗中风后遗症中的临床应用价值，旨在为中风的预后治疗提供理论基础。方法：选择我院2013年6月～2014年6月期间收治的中风后遗症患者共132例作为研究对象，并按数字表法随机分为观察组（n=67）和对照组（n=65）。其中，对照组患者采用补阳还五汤方剂进行治疗；观察组采用生半夏先煎，30min后联合补阳还五汤进行治疗。观察并比较两种治疗方法的临床总有效率和不良反应发生率的差异。结果：观察组显效41例，有效23例，无效3例，总有效率高达95．52％（64／67），仅4例患者出现不良反应，不良反应率低至5．97％（4／67）；而对照组显效19例，有效35例，无效11例，总有效率为83．08％（54／65），共11例患者出现不良反应，不良反应率达16．92％（11／65）。可见观察组的临床有效性和安全性均显著优于对照组，两组间差异比较均具有统计学意义（P〈0．05）。结论：生半夏配合补阳还五汤治疗中风后遗症的临床效果显著，不良反应率低，值得在临床上推广使用。

Objective: To investigate the clinical value of raw pinellia for the adjuvant treatment of stroke sequelae and to provide a theoretical basis for the prognosis of stroke. Methods: Select 132 patients of sequelae stroke patients in our hospital from June 2013 to June 2014 as the research subjects. And they were randomly divided into an observation group( n = 67) and a control group( n = 65) accuording to the number table method. Among them,the control group was treated with Buyang Huanwu decoction for the treatment; the observation group used the raw pinellia fried and after 30 min it combined with Buyang Huanwu decoction for the treatment. Observe and compare the differences of the total clinical efficacy and adverse reaction rate for the two treatments. Results: The observation group had 41 cases with marked effective ness; 23 cases with effectiveness and 3 cases with the invalid result,whose total efficiency was up to 95. 52%( 64 /67). It only had 4 patients with adverse reactions and the adverse reaction rate was low to 5. 97%( 4 /67). The control group had 19 cases with marked effectiv eness; 35 cases with effectiveness and 11 cases with the invalid result,whose total efficiency was 83. 08%( 54 /65). It had 11 patients with adverse reactions and the adverse reaction rate was up to 16.92%( 11 /65). Visibly,the clinical efficacy and safety in the observation group were significantly better than those in the control group,and there were statistically significant differences between two groups( P < 0. 05).Conclusion: The clinical effect of raw pinellia combined with Buyang Huanwu decoction for the treatment of stroke sequelae is significant and the adverse reaction rate is low,which should be introduced in clinical practice.