补阳还五汤加减治疗社区脑卒中后疲劳疗效观察

Clinical Observation of Patients with Post-stroke Fatigue in Community Treated with Buyang Huanwu Decoction

目的:观察补阳还五汤加减治疗社区脑卒中后疲劳患者的临床疗效。方法:将44例社区脑卒中患者随机分为对照组24例和治疗组20例,对照组接受内科常规药物对症治疗,治疗组在补阳还五汤的基础上根据患者的症状进行加减治疗。4周后对患者的疲劳严重度和生存质量进行评分。结果:2组脑卒中患者治疗后疲劳严重度量表(FSS)评分和生存质量评分比治疗前均明显改善(P<0.05,P<0.01);治疗组在FSS评分改善程度方面优于对照组(P<0.01)。结论:补阳还五汤加减治疗能显著改善患者的疲劳程度,提高生存质量,具有良好的临床疗效。

Objective：This study was aimed to observe the clinical effect of modified Buyang Huanwu decoction in treating patients from community with post-stroke fatigue. Methods：Forty-four eligible patients from community with post-stroke fatigue were randomly assigned to the control group（24 cases） and the treatment group（20 cases）. Patients in the control group were administered with routine treatment,while patients in the treatment group were given modified Buyang Huanwu decoction according to their signs and symptoms. After 4 weeks,the severity of fatigue（FSS） and quality of life were assessed. Results：Compared to pre-treatment,both two groups showed significant improvement in fatigue severity and quality of life（P〈0.05,P〈0.01）;the treatment group demonstrated significant better effect on FSS compared to the control group（P〈0.01）. Conclusion：The modified Buyang Huanwu decoction can significantly ameliorate fatigue,improve quality of life in patients with post-stroke fatigue and reveal good clinical efficacy.