补阳还五汤治疗脑梗死急性期气虚血瘀型临床观察

Observation on the Therapeutic Effect of Buyang Huanwu Decoction in the Treatment of Acute Cerebral Infarction with Qi Deficiency and Blood Stasis

目的观察脑梗死急性期证属气虚血瘀型患者应用补阳还五汤的临床疗效。方法收集2018年6月—2019年12月符合脑梗死急性期诊断标准的50例气虚血瘀型患者,并随机将其分为对照组和治疗组,各25例。对照组遵从脑梗死急性期指南治疗,治疗组在遵从脑梗死急性期指南治疗的基础上应用补阳还五汤化裁。比较2组治疗4周后的临床疗效。结果2组患者治疗后神经功能缺损评分均改善,治疗组治疗后神经功能缺损评分优于对照组(P<0.05)。治疗组总有效率为92.00%,高于对照组总有效率68.00%(P<0.05)。结论与单纯用西医方法治疗比较,对于急性脑梗死证属气虚血瘀型的患者服用补阳还五汤可取得更好的临床疗效。

Objective To observe the therapeutic effect of Buyang Huanwu decoction on acute cerebral infarction with qi deficiency and blood stasis.Methods 50 patients in our department with acute cerebral infarction from June 2018 to December 2019 were included in the study.They were randomly divided into control group and treatment group,with 25 cases in each group.The control group was treated according to the guidelines of acute stage of cerebral infarction,and the treatment group was treated with Buyang Huanwu decoction on the basis of the control group for 4 weeks.The clinical effect of the two groups was observed and compared.Results The scores of neurological deficits of the two groups were improved after treatment,and those of the treatment group were better than those of the control group(P<0.05).The total effective rate was 92.00%in the treatment group and 68.00%in the control group.The therapeutic effect of the treatment group was better than the control group(P<0.05).Conclusion Compared with western medicine,Buyang Huanwu decoction has better therapeutic effect on acute cerebral infarction with qi deficiency and blood stasis.