星蒌承气汤治疗中风病(急性脑梗死)痰热腑实证的临床预后观察

目的观察星蒌承气汤治疗中风病(急性脑梗死)痰热腑实证的临床预后。方法两组均给予内科治疗(抗栓、调脂、静脉活血化瘀、改善微循环、清除自由基、控制血压、血糖、磁疗、针灸等),治疗组加减星蒌承气汤(生大黄4~6g后下,全瓜蒌20~30g,胆南星6g,芒硝5~10g口服为基础方)每日2次,疗程14天。结果两组患者治疗后治疗组的NIHSS评分低于对照组治疗后,比较差异有统计学意义(P<0.01);巴氏指数(Bathel-Index BI):治疗组治疗后Barthel指数高于对照组,比较差异有统计学意义(P<0.01);中医症状体征:治疗组治疗后中医症状体征积分低于对照组治疗后,比较差异有统计学意义(P<0.01);两组患者治疗后临床疗效,治疗组总有效率为95.00%,对照组总有效率为80.00%,比较差异有统计学意义(P<0.05)。结论痰热腑实证型中风病(急性脑梗死)在内科治疗的基础上加减星蒌承气汤能降低NIHSS评分和提高Barthel指数,改善中医症状,显著提高临床疗效,提高患者生活质量,值得临床推广使用。

objective to observeClinical outcomes of Xinglouchengqi Decoction for Treatment of Patients with Acute Ischemic Cerebral Stroke of Constipation of Phlegm heat repletionrelieving empircal. Method two groups were given medical treatment （antithrombotic, control lipid, blood circulation by removing blood stasis, improve microcirculation, scavenging free radicals, control blood pressure and blood sugar, magnetic therapy, acupuncture, etc.）, the treatment group plus or subtract Xinglouchengqi Decoction （raw rhubarb after 4 ~ 6 g, full of trichosanthes 20 ~ 30g, bile narrxing 6g, glauber＇s salt 5 ~ 10g oral ） on the basis of 2 times a day, the course of 14 days. Resu Its compare neural function defect score （NIHSS） scores before and after the treatment, NIHSS score after treatment in both groups were lower than before treatment, compare the difference was statistically significant （P〈 0.05）, the treatment group after treatment NIHSS score lower than the control group after treatment, compare the difference was statistically significant （P〈 0.01）; Bathel - Index BI, Barthel Index after treatment in both groups were higher than before treatment, compare the difference was statistically significant （P〈 0.05）, the treatment group after treatment Barthel Index is higher than the control group, compare the difference was statistically significant （P〈 0.01）; Symptoms and signs of traditional Chinese medicine, the two groups after treatment in patients with symptoms and signs of traditional Chinese medicine integral are lower than before treatment, compare the difference was statistically significant （P〈 0.05）, the treatment group after treatment symptoms and signs ottraditional Chinese medicine lower than the control group after treatment, compare the difference was statistically significant （P〈 0.01）; Two groups of patients after treatment of clinical curative effect, treatment group total effective rate was 95.00%, control group total effective rate was 80.00%, compare the difference was statistically significant （P〈 0.05）. Conc I us i on Xinglouchengqi Decoction for Treatment of Patients with Acute Ischemic Cerebral Stroke of Constipation of Phlegm heat relieving empircalon the basis of medical treatment to reduce the NIHSS score and improve the Barthel index, improve symptoms of traditional Chinese medicine, significantly improve the clinical curative effect, improve the patients quality of life, is worth clinical use.