摘要
目的观察补阳还五汤加味辅治气虚血瘀型中风后遗症的临床效果。方法选取医院2017年1月-2018年1月门诊治疗的气虚血瘀中风后遗症患者94例,根据治疗方法不同分为观察组和对照组各47例。对照组给予常规西药治疗,观察组在对照组基础上给予补阳还五汤加味治疗。对比2组患者中医症状疗效、治疗前后神经功能、日常生活能力、运动功能、中医症候及不良反应发生情况。结果观察组总有效率为72.34%高于对照组的44.68%,差异有统计学意义(χ^2=15.758,P<0.05)。治疗后2组NIHSS评分及中医症状评分均低于治疗前,ADL评分及Fugl-Meyer评分均高于治疗前,且观察组变化幅度大于对照组,差异均有统计学意义(P<0.01)。2组患者治疗过程中均未出现明显不良反应。结论补阳还五汤辅治气虚血瘀型中风后遗症不仅具有良好的治疗效果,还有较高的安全性,值得临床推广。
Objective To observe the clinical effect of modified Buyanghuanwu decoction in treatment of qi deficiency and blood stasis type stroke sequela.Methods 94 patients with qi deficiency and blood stasis type stroke sequela were selected in the hospital from January 2017 to January 2018.According to different treatment methods,they were divided into observation group and control group,each of 47 cases.Control group was treated with routine western medicine and observation group was treated with modified Buyanghuanwu decoction on the basis of control group.The effects of TCM symptoms,neurological function,daily living ability,motor function,TCM symptoms and adverse reactions were compared between two groups.ResultsThe total effective rate of observation group was 72.34% higher than 44.68% of control group,and the difference was statistically significant(χ^2=15.758,P<0.05).After treatment,the NIHSS scores and TCM symptom scores of two groups were lower than those before treatment,the ADL score and Fugl-Meyer score were higher than those before treatment,and the change of observation group was larger than that of control group,the difference was statistically significant(P<0.01).No significant adverse reactions occurred in the treatment of two groups of patients.Conclusion The treatmen of modified Buyanghuanwu decoction for qi deficiency and blood stasis type stroke sequelae not only has good therapeutic effect,but also has high safety,so it is worthy of clinical promotion.
作者
柴春泉
CHAI Chunquan(Department of Traditional Chinese Medicine,Shanghai Post and Telecommunications Hospital,Shanghai 200040,China)
出处
《临床合理用药杂志》
2019年第31期12-13,15,共3页
Chinese Journal of Clinical Rational Drug Use
关键词
补阳还五汤
气虚血瘀型
中风后遗症
治疗效果
安全性
Buyanghuanwu decoction
Qi deficiency and blood stasis type
Sequelae of stroke
Therapeutic effect
Safety
