活血化痰行气法联合西药对脑梗死患者康复作用的影响

Effect of TCM therapy of promoting blood circulation to remove phlegm on the recovery of cerebral infarction in patients with Cerebral Infarction

目的:探讨活血化痰行气法联合西药对脑梗死患者康复功能影响性。方法:选取108例脑梗死患者为研究对象,按入组先后顺序平均分成两组,每组为54例。对照组西药治疗,研究组加用活血化痰行气法中药口服,连续治疗8周,8周后观察不同方法治疗后在疗效、血液动力学、生活质量等指标影响性。结果:疗效上,对照组基本痊愈率29.63%、总有效率77.78%,研究组基本痊愈率38.89%、总有效率88.89%,研究组基本痊愈率、总有效率显著优于对照组(P<0.05);两组治疗末NHISS较治疗前显著下降,而在ADL、FMA、自我效能、生活质量指标上比较则显著升高,治疗前末比较差异显著(P<0.05),研究组治疗末以上指标均显著优于对照组(P<0.05);两组治疗末量血黏度、血液黏度、红细胞面积、红细胞聚集指数、血浆蛋白C、血浆蛋白S含量水平均显著治疗前(P<0.05),研究组治疗末以上指标均显著优于对照组(P<0.05)。结论:活血化痰行气法联合西药能改善脑梗死神经功能,改善生活质量,提高疗效,促进血液循环。

Objective:To investigate the effect of activating blood circulation and removing phlegm method on the rehabilitation function of patients with cerebral infarction.Methods:One hundred and eighty patients with cerebral infarction were enrolled in this study.They were equally divided into two groups according to the order of the patients,with54patients in each group.In the control group,the study group was treated with qi and activating blood circulation and resolving phlegm by oral administration of traditional Chinese medicine for8weeks.After8weeks,the therapeutic effect,hemodynamics,quality of life and other indicators were observed.Results:The curative effect,the control group,the basic cure rate of29.63%,the total effective rate of77.78%,the study group,the basic cure rate was38.89%,the total effective rate of88.89%,the study group of the basic cure rate,the total effective rate was significantly better than the control group(P<0.05).Compared with before treatment,NHISS significantly decreased in both groups,but significantly increased in ADL,FMA,self-efficacy and quality of life indicators,before and after treatment(P<0.05)(P<0.05).The mean blood viscosity,blood viscosity,erythrocyte area,erythrocyte aggregation index,plasma protein C and plasma protein S were significantly increased in both groups before and after treatment(P<0.05)The study group above the end of the index were significantly better than the control group(P<0.05).Conclusion:The combination of qi and activating blood circulation and resolving phlegm can improve neurological function,improve quality of life,improve curative effect and promote blood circulation in cerebral infarction.