缺血性中风从“痰瘀”论治的临床研究

Clinical Observation on the Effect of Dissolving Phlegm-stasis in Patients with Ischemic Stroke

目的:观察缺血性中风从"痰瘀"论治对神经功能缺损程度、血液流变学、血脂的影响及其临床疗效。方法:120例缺血性中风随机分为对照组和观察组各60例,对照组予常规西药治疗,观察组加用加味化痰活血汤,2周为1个疗程。比较2组神经功能缺损评分、血液流变学、血脂及临床疗效。结果:治疗后,观察组神经功能缺损评分差值为(3.50±1.06),高于对照组的(2.37±0.49)(P<0.05);全血黏度、血浆黏度、胆固醇、三酰甘油水平的改善程度优于对照组(P<0.05);临床总有效率为91.67%,高于对照组的76.67%(P<0.05)。结论:以"痰瘀"为主论治缺血性中风思路正确,方选加味化痰活血汤加减治疗缺血性中风疗效肯定,值得临床推广运用。

Objective：To observe the effect of dissolving phlegm-stasis on neurological function deficits,blood rheology,blood lipid and clinical efficacy in patients with ischemic stroke.Methods：Totally 120 patients with ischemic stroke were randomly divided into a control group （60 cases） and a study group （60 cases）.The control group received conventional western medicine treatment,the study group Jiawei Huatan Huoxue decoction,additionally.All treated for 2 weeks.Neurological function deficits scores,blood rheology,blood lipids and clinical effects were compared.Results：After treatment,for the study group,the difference of neurological function deficits score was （9.05±1.16）,which was higher than that of control group of （5.25±0.79） （P〈0.05）;the level of whole blood viscosity,plasma viscosity,cholesterol and triglycerides were all lower than those of control group （P〈0.05）;the total effective rate was 91.67%,which was significantly higher than that of control group of 76.67% （P〈0.05）.Conclusion：Dissolving phlegm-stasis with Chinese medicine Jiawei Huatan Huoxue decoction is effective in the treatment of ischemic stroke,and is worthy of clinical use and promotion.