桂枝附子汤加味治疗气虚血瘀型中风后遗症的临床研究

A Clinical Study on Treatment of Apoplectic Sequelae of Qi Deficiency and Blood Stasis Type by Guizhifuzi Decoction

目的:以桂枝附子汤为主方加味后用于治疗气虚血瘀型中风后遗症的临床观察,为血管性痴呆的治疗提供新的治疗方法。方法:选取例符合纳入标准的气虚血瘀型中等后遗症患者,按照随机数字法分为治疗组及对照组各36例,以常规西药治疗作为对照组,治疗组为常规西药治疗加中药。治疗结束后比较两组患者神经功能缺损、日常生活能力及中医症状评分的改善情况。结果:通过研究患者的神经功能缺损、日常生活能力和中医症状的评分,说明桂枝附子汤加味配合西药在患者的神经功能缺损、日常生活能力及中医症状评分治疗组优于单纯西药组。

Objective:The clinical observation of Guizhifuzi decoction was used to treat the sequelae of apoplexy due to the deficiency of qi and blood stasis and to provide a new method for the treatment of vascular dementia.Methods:Selected patients with moderate sequelae of qi deficiency and blood stasis that met the inclusion criteria,were randomly divided into treatment group and control group with 36 cases each,with conventional western medicine as the control group,and the treatment group with conventional western medicine plus traditional Chinese medicine.After the treatment,the improvement of neurological deficit,ability of daily life and TCM symptom score were compared between the two groups.Results:Through the study of the patients'neurological deficit,ability of daily life and TCM symptom scores,it is indicated that the treatment group with Guizhifuzi decoction plus western medicine is better than the treatment group with western medicine alone in neurological deficit,ability of daily life and TCM symptom scores.