摘要
目的:观察黄芪桂枝五物汤配合中药封包对气虚血瘀型中风后遗症患者神经功能及生活质量的影响。方法:选取128例气虚血瘀型中风病后遗症患者,随机分为4组,空白对照组(第1组)32例给予常规治疗,黄芪桂枝五物汤组(第2组)33例在第1组治疗基础上加服黄芪桂枝五物汤,中药热封包组(第3组)31例在第1组治疗基础上加用中药热封包,黄芪五物汤合中药热封包组(第4组)32例同时使用上述3组的治疗方法。评价治疗前后患者的神经功能及生活质量,比较4组临床疗效。结果:治疗后,4组神经功能缺损评分均较治疗前下降(P<0.05);与第1、2、3组比较,第4组神经功能缺损评分下降最显著(P<0.05);第2组神经功能缺损评分低于第1组(P<0.05);第3组神经功能缺损评分分别与第1组和第2组比较,差异均无统计学意义(P>0.05)。第1组总有效率65.6%,第2组总有效率87.9%,第3组总有效率74.2%,第4组总有效率93.8%。第4组总有效率高于1、3两组(P<0.05),与第2组比较,差异无统计学意义(P>0.05);第2组总有效率高于第1组(P<0.05),与第3组比较,差异无统计学意义(P>0.05)。治疗后,4组改良巴氏指数评定表(PADL)评分均较治疗前升高,差异均有统计学意义(P<0.05);在两两比较中,第4组的PADL评分均高于其余3组(P<0.05);第2组和第3组的PADL评分均高于第1组(P<0.05);第2组与第3组的PADL评分比较,差异无统计学意义(P>0.05)。结论:黄芪桂枝五物汤配合中药热封包治疗可改善气虚血瘀型中风后遗症患者的神经功能及生活质量。
Objective： To observe the clinical effect of Huangqi Guizhi Wuwu tang combined with Chinese medicine heat-seal charge on neurological function and quality of life in treating patients with poststroke syndrome of qi deficiency and blood stasis type. Methods：Selected 128 patients with poststroke syndrome of qi deficiency and blood stasis type and divided them into the blank control group（group 1） being 32 cases,which was given routine treatment,the Huangqi Guizhi Wuwu tang group（group 2） being 33 cases,which was given Huangqi Guizhi Wuwu tang based on the treatment of group 1,the Chinese medicine heat-seal charge group being 31 cases,which was given Chinese medicine heat-seal charge based on the treatment of group1 and the combination group（group 4） being 32 cases,which was given all treatments that the other three groups were used. Evaluated neurological function and quality of life of patients before and after treatment,and compared the clinical effect. Results：After treatment,neurologic impairment scores of the four groups were all lower than those before treatment（P〈0.05）. The decrease of group 4 was the most significant,comparing with that of the other three groups（P〈0.05）. Neurologic impairment scores of group 2 were lower than those of group 1（P〈0.05）. Compared neurologic impairment scores of group 3 with those of group 1 and group 2,the difference was not significant（P〈0.05）. The total effective rate was65.6% in group 1,87.9% in group 2,74.2% in group 3 and 93.8% in group 4. The total effective rate of group 4 was higher than that of group 1 and group 3（P〈0.05）,and has no significant difference as compared with that of group 2（P〈0.05）.The total effective rate of group 2 was higher than that of group 1（P〈0.05）,and has no significant difference as compared with that of group 3（P〉0.05）. After treatment,modified Physical Activities of Daily Living（PADL） scores of the four groups were all higher than those before treatment（P〈0.05）. Compa
出处
《新中医》
CAS
2017年第6期31-34,共4页
New Chinese Medicine
基金
2015年度广州市南沙区公共服务研究项目(2015MS007)
关键词
中风后遗症
气虚血瘀
黄芪桂枝五物汤
中药热封包
神经功能
生活质量
Poststroke syndrome
Qi deficiency and blood stasis
Huangqi Guizhi Wuwu tang
Chinese medicine heat-seal charge
Neurological function
Quality of life
