补气化痰法治疗大动脉粥样硬化型缺血性中风临床观察

Analysis on the Clinical Effect of Invigorating Qi and Resolving Phlegm Method in the Treatment of Ischemic Stroke Caused by Large-artery Atherosclerosis

目的观察补气化痰法治疗CISS分型为大动脉粥样硬化型缺血性中风的临床疗效。方法选取2018年1月—2020年4月所收治的90例根据CISS分型病因为大动脉粥样硬化型的缺血性中风急性期患者,依据随机分组表将其分为对照组和治疗组各45例,对照组实行常规治疗,治疗组在常规治疗的基础上予补气化痰的中药治疗,疗程均为2周,对比2组治疗效果。结果治疗组NIHSS评分(4. 93±3. 18)分、日常生活活动量表(ADL)评分(72. 00±26. 01)分、总有效率91. 11%等指标均显著优于对照组NIHSS评分(6. 71±3. 72)分、日常生活活动量表(ADL)评分(61. 33±21. 80)分、总有效率73. 33%,差异存在统计学意义(P <0. 05)。结论缺血性中风病因分型为大动脉粥样硬化型患者急性期应用补气化痰法治疗,疗效确切,可降低患者神经功能缺损症状,提高患者日常生活活动能力。

Objective To observe the clinical effect of invigorating qi and resolving phlegm method in the treatment of ischemic stroke classified as large atherosclerosis by CISS. Methods 90 patients in our hospital from January 2018 to April 2020 were divided into control group and treatment group according to the random grouping table,with 45 patients in each group. The control group was treated with routine therapy,and the treatment group was treated with traditional Chinese medicine based on routine therapy,with a course of 2 weeks. The changes of therapeutic effects were compared between the two groups. Results The NIHSS score( 4. 93 ± 3. 18),ADL score( 72. 00 ±26. 01),total effective rate 91. 11% and other indicators in the treatment group were significantly better than those in the control group( 6. 71 ± 3. 72),ADL score( 61. 33 ± 21. 80),total effective rate 73. 33%,and the difference was statistically significant( P < 0. 05).Conclusion In the acute stage of the patients with large atherosclerosis,the invigorating qi and resolving phlegm method is effective. It can reduce the symptoms of neurological deficit and improve the ability of daily life.