加味补阳还五汤防治脑卒中后遗症患者的临床效果研究

Research on Clinical Effect of Modified Buyang Huanwu Tang in Prevention and Treatment of Patients with Sequela of Stroke

目的探讨加味补阳还五汤防治脑卒中后遗症患者的临床效果研究。方法方便选取2015年1月—2017年1月在该院内科治疗的80例脑卒中后遗症患者,随机分为两组,对照组采用常规西医治疗,观察组在此基础上采用加味补阳还五汤治疗,比较两组患者的治疗效果、神经功能、运动功能及生活质量。结果观察组治疗有效率为95%,同期对照组的治疗有效率为77.5%,观察组明显较高,差异有统计学意义(P<0.05);观察组治疗后NIHSS评分(9.65±1.26)分、ADL评分(88.67±12.43)分、FMA评分(31.49±2.92)分明显优于对照组NIHSS(14.97±2.74)分、ADL(72.35±11.66)分、FMA(26.32±3.07)分,差异有统计学意义(P<0.05)。结论加味补阳还五汤防治脑卒中后遗症效果显著,能明显改善神经功能,促进偏瘫肢体运动能力的提高,增强生活自理能力,具有积极的临床意义。

Objective To study the clinical effect of modified buyang huanwu tang in prevention and treatment of patients with sequela of stroke.Methods Convenient selection 80 cases of patients with sequela of stroke treated in our hospital from January 2015 to January 2017 were selected and randomly divided into two groups,the control group adopted the routine western medicine,while the observation group were treated with modified buyang huanwu tang on the basis of the control group,and the treatment effect,nerve function,motor function and quality of life were compared between the two groups.Results The treatment effective rate in the observation group was obviously higher than that in the control group,（95% vs 77.5%）,and the difference was statistically significant（P〈0.05）,after treatment,the NIHSS score,ADL score and FMA score in the observation group were obviously better than those in the control group,[（9.65±1.26）points,（88.67±12.43）points,（31.49±2.92）points vs（14.97±2.74）points,（72.35±11.66）points,（26.32±3.07）points],and the difference was statistically significant（P〈0.05）.Conclusion The effect of modified buyang huanwu tang in prevention and treatment of patients with sequela of stroke is obvious,which can obviously improve the nerve function,promote the improvement of hemiplegic motor function and enhance the self-caring ability,which is of positive clinical significance.