补阳还五汤联合西药治疗气虚血瘀型缺血性脑中风效果观察

Clinical Efficacy Observation of Buyang Huanwu Decoction Combine with Western Medicine in the Treatment of Qi Deficiency and Blood Stasis Type Ischemic Stroke

目的:观察补阳还五汤联合西药治疗气虚血瘀型缺血性脑中风的效果。方法:78例随机分为2组,各39例。2组均行常规西药治疗,观察组在西药治疗基础上联合补阳还五汤治疗。观察2组疗效、神经功能缺损程度及日常生活能力情况。结果:对照组治疗总有效率74.36%(29/39)比观察组92.31%(36/39)低,差异有统计学意义(P<0.05);2组治疗后血小板聚集率均比治疗前低,观察组比对照组低,差异有统计学意义(P<0.05);对照组治疗后NIHSS评分比观察组高,ADL评分比观察组低,差异有统计学意义(P<0.05)。结论:气虚血瘀型缺血性脑中风患者在西药治疗基础上给予补阳还五汤治疗能够降低血小板聚集率,促进脑部供血改善神经功能,提高患者日常生活能力,改善预后。

Objective： To observe the effect of Buyang Huanwu Decoction combined with western medicine on is- chemic stroke caused by Qi deficiency and blood stasis. Methods： 78 patients were randomly divided into two groups, 39 cases each. Both groups were treated with conventional western medicine, and the observation group was treated with Buyang Huanwu decoction on the basis of western medicine treatment. The efficacy, neurological deficit and daily living ability of the two groups were observed. Results： The total effective rate of the control group was 74.36% （29/39）, which was lower than that of the observation group （92.31% （36/39））. The difference was statistically significant （P〈O.05）. The platelet aggregation rate of the two groups was lower than that before treatment, and the observation group was lower than the control group, the difference was statistically significant （P〈0.05）. The NIHSS scores in the control group were higher than those in the observation group, and the ADL scores were lower than those in the observation group （P〈0.05）. Conclusion： Patients with Qi deficiency and blood stasis type ischemic stroke can be treated with western medicine to improve the platelet aggregation rate, promote blood supply to improve blood function, improve daily living ability and improve the oatient＇ s ability.