中医辨证治疗脑梗死恢复期疗效分析

Traditional Chinese Medicine Syndrome Differentiation Treatment in Patients with Cerebral Infarction Convalescence Treatment

目的：在脑梗死患者恢复期治疗中采用中医辨证治疗进行治疗的疗效探讨。方法：将74例脑梗死恢复期患者进行随机分组：分别为参照组和观察组,每组37例。参照组患者行康复锻炼,观察组患者则施以康复锻炼＋中医辨证治疗进行治疗,对两组患者治疗前后的神经功能缺损评分状况、MBI与Fugl-Meyer评分状况以及疗效状况进行分析对比。结果：两组患者治疗前的神经功能缺损评分状况比较差异不明显,P〉0.05;治疗后观察组患者的神经功能缺损评分状况优于参照组患者,差异有统计学意义（P〈0.05）。治疗前两组患者的MBI和Fugl-Meyer评分状况差异无统计学意义（P〉0.05）;治疗后观察组患者的MBI和Fugl-Meyer评分状况优于参照组患者,且P〈0.05,差异有统计学意义。在疗效方面,观察组患者的总有效率高于参照组患者（94.59%〉72.97%）,且差异有统计学意义,P〈0.05。结论：在脑梗死患者恢复期治疗中采用中医辨证治疗进行治疗,其疗效明显,适合推广应用。

Objective：To discuss the curative effect of syndrome differentiation and treatment of traditional Chinese medicine in the treatment of cerebral infarction patients in recovery phase. Methods：We randomly assigned 74 patients with cerebral infarction in convalescence period into control group and observation group, respectively, 37 cases in each group. Control group patients used rehabilitation exercise and the observation group＇ s patients were treated with rehabili- tation exercise and syndrome differentiation and treatment of traditional Chinese medicine. The two groups＇ nerve function defect score, MBI and Fug - Meyer rating conditions before and after treatment were compared and we analyzed the effect. Results ： Before treatment, two groups＇ neural function defect scale was not significant, P 〉 0.05. The observation group＇ s nerve function defect score after treatment was better than that of the control group and the difference was statisti- cally significant （P 〈 0. 05 ）. Two groups＇ MBI and Fugl - Meyer score status before treatment had no statistical significance （ P 〉 0. 05）. The observation group＇ s MBI and Fugl - Meyer score after treatment was better than that of the con- trol group, P 〈 0. 05. The difference was statistically significant. In curative effect, the observation group＇ s total effec- tive rate was higher than that of the control group （94.59% 〉 72.97% ） and the difference was statistically significant, P 〈 0. 05. Conclusion：Patients with cerebral infarction in recovery phase treated by syndrome differentiation and treatment of traditional Chinese medicine treatment can obtain obvious curative effect and the treatment is suitable for popularization and application.