土家“二七补阳活血汤”治疗急性脑梗死的临床观察

The Clinical Effect of Two Seven Tujia Huoxue Decoction′s Treatment on Acute Cerebral Infarction

目的观察土家"二七补阳活血汤"治疗急性脑梗死(气虚血瘀证)的临床疗效。方法将患者随机分为对照组,补阳还五汤组和"二七补阳活血汤"组。对照组予以常规西医治疗,补阳还五汤组加用补阳还五汤,"二七补阳活血汤"组加用补阳活血汤,疗程均为2周。观察治疗前后的神经缺损程度评分、日常生活活动能力积分,并进行临床疗效评定。结果 3个治疗方案均能改善急性脑梗死患者的神经功能缺损和日常生活能力,临床疗效较为肯定,补阳还五汤组优于对照组,而"二七补阳活血汤"组又优于补阳还五汤组(P<0.05或P<0.01)。结论土家"二七补阳活血汤"治疗急性脑梗死气虚血瘀证具有良好的临床疗效。

Objective： To observe the clinical efficacy of Two seven tujiabuyanghuoxue Decoction in the treat- ment on acute cerebral infarction with Qi deficiency and blood stasis. Methods： 131 patients were randomly di- vided into the control group of 43 eases,the Buyanghuanwu decoction group of 44 cases and Two seven Tujia Huoxue decoction group of 44 cases. The control group were given routine treatment of Western medicine,while the Buyanghuanwu decoction group received the treatment of Western medicine combined with Buyanghuanwu decoction. The Two seven tujiabuyanghuoxue Decoction group were treated with Buyang Huoxue decoction. The treatment lasted for 2 weeks. Before and after treatment,the neurologic impairment,and daily activity score were observed,and the clinical curative effect was evaluated. Results： The 3 groups could improve the neurological impairment in patients with acute cerebral infarction and the ability of daily life and the clinical effect were obvi- ous. Buyanghuanwu decoction group was better than the control group,while the Two seven Tujia Huoxue decoc- tion group was superior to Buyanghuanwu Decoction group. Conclusion： Two seven tujiabuyanghuoxue Decoction has a good clinical efficacy in the treatment of acute cerebral infarction of qi deficiency and blood stasis.