自拟扶阳汤治疗气虚血瘀型缺血性中风临床观察

Clinical observation on treating ischemic stroke of the Qixu Xueyu type with the Fuyang decoction

目的:观察自拟扶阳汤治疗气虚血瘀型缺血性中风的临床疗效。方法:将280例气虚血瘀型缺血性中风随机分为两组,对照组140例给予常规西医治疗及补阳还五汤,治疗组在常规西医治疗基础上加用自拟扶阳汤。治疗2周后观察两组中医证候积分、临床疗效、神经功能缺损程度、日常生活能力。结果:治疗组总有效率优于对照组(P <0.01);治疗组在临床症状体征、中医证候积分方面均显著优于对照组(P <0.05);两组神经功能缺损程度和日常生活能力评分均较治疗前明显改善(P <0.05),且治疗组改善优于对照组(P <0.05)。结论:自拟扶阳汤能有效改善气虚血瘀型急性期脑梗死患者神经功能缺损,提高日常生活自理能力,临床疗效显著。

Objective: To observe the clinical efficacy of the Fuyang decoction( 扶阳汤) on ischemic stroke of the Qixu Xueyu type( 气虚血瘀型). Methods: 280 cases were randomized into two groups, 140 cases in each. The control group was treated by routine therapy and the Buyang Huanwu decoction( 补阳还五汤), and the treatment group was treated with routine therapy and the Fuyang decoction. Results: The total efficiency in the treatment group was higher the control group, P<0.01. Clinical manifestations, TCM symptoms score in the treatment group were better than the control group, P<0.05. The improvement of neurological deficit score and activities of daily living were more significant in the experimental group(P<0.05). Conclusion: The Fuyang decoction is quite effective on ischemic stroke of the Qixu Xueyu type, can effectively improve neurological deficits and improve self-care ability in daily life.