董氏奇穴合补阳还五汤加减治疗脑梗死恢复期气虚血瘀型的临床观察

Clinical observation of Dong Qi points combined with Buyang Huanwu Decoction in treating Qi deficiency and blood stasis type in recovery period of cerebral infarction

目的:针对脑梗死恢复期气虚血瘀型患者运用董氏奇穴、补阳还五汤辨证加减治疗的临床疗效进行探讨。方法:对我院2012年1月—2014年12月收治的80例脑梗死恢复期气虚血瘀型患者实施临床治疗,依据随机分组法将病患分为治疗组(42例)与对照组(38例)两组,对照组予西药阿司匹林肠溶片、阿托伐他丁钙胶囊、脑蛋白水解物注射液、脑心通胶囊等,并配合降血压药治疗,治疗组在对照组治疗的基础上,加用针刺董氏奇穴、补阳还五汤辨证加减治疗,对比两组患者临床治疗的效果。结果:治疗组总有效率90.5%,对照组总有效率68.4%。治疗组患者治疗效果明显优于对照组患者,两组患者对比存在显著差异,P<0.05,具有统计学意义。结论:针对脑梗死恢复期气虚血瘀型患者的临床治疗,采取针刺董氏奇穴结合补阳还五汤加减治疗,具有较好的临床疗效,值得临床推广与应用。

Objective: To explore the clinical curative effect of Dong Qi points combined with Buyang Huanwu Decoction intreating Qi deficiency and blood stasis type in recovery period of cerebral infarction. Methods: 80 patients with Qi deficiency and bloodstasis type in recovery period of cerebral infarction, admitted to our hospital from January 2012 to December 2014, were randomly dividedinto the treatment group (42 cases) and the control group (38 cases). The control group was given western medicine such as Aspirinenteric-coated Tablets, atorvastatin calcium capsules, Cerebroprotein Hydrolysate Injection, Naoxintong Capsule,etc. in addition toantihypertensive drug therapy while the treatment group received Dong Qi points combined with modified Buyang Huanwu Decoction, theclinical curative effect of two groups were compared. Results: The total effective rate of the treatment group was 90.5% while that of thecontrol group was 68.4%, the curative effect of the treatment group was significantly better than that of the control group; the differencewas statistically significant (P<0.05). Conclusion: Dong Qi points combined with Buyang Huanwu Decoction had significant clinicalcurative effect in treating Qi deficiency and blood stasis type in recovery period of cerebral infarction and it was worthy of clinicalpromotion and application.