摘要
目的探讨脑梗通汤辨证加减治疗气虚血瘀型脑梗死恢复期偏瘫的临床效果及对患者肢体功能的影响。方法选取我院收治的80例气虚血瘀型脑梗死恢复期偏瘫患者,采用随机数字表法将其分为对照组(40例,常规西医治疗)和观察组(40例,常规西医+脑梗通汤辨证加减治疗)。比较两组的治疗效果。结果治疗后,两组的ESR、HCT、PV均低于治疗前,且观察组明显低于对照组(P<0.05)。治疗后,两组的MCA、ACA、PCA、BA血流速度均增高,且观察组明显高于对照组(P<0.05)。治疗后,两组的NIHSS评分均降低,FMA、ADL及生活质量评分均升高,且观察组明显优于对照组(P<0.05)。结论脑梗通汤辨证加减治疗用于气虚血瘀型脑梗死恢复期偏瘫中可促使患者脑血液循环改善,减轻神经损伤和肢体功能障碍,提高日常生活能力和生活质量。
Objective To explore the clinical effect of modified Naogengtong decoction syndrome differentiation on hemiplegia in recovery stage of cerebral infarction with Qi deficiency and blood stasis type and its influence on limb function of patients.Methods A total of 80 patients with hemiplegia in recovery stage of cerebral infarction with Qi deficiency and blood stasis type admitted in our hospital were selected and divided into control group(40 cases,routine western medicine treatment)and observation group(40 cases,routine western medicine+modified Naogengtong decoction syndrome differentiation treatment)by random number table method.The therapeutic effects of the two groups were compared.Results After treatment,the ESR,HCT and PV of the two groups were lower than those before treatment,and those of the observation group were significantly lower than the control group(P<0.05).After treatment,MCA,ACA,PCA and BA blood velocity of the two groups increased,and those of the observation group were significantly higher than the control group(P<0.05).After treatment,NIHSS score of the two groups decreased,FMA,ADL and quality of life scores increased,and those of the observation group were significantly better than the control group(P<0.05).Conclusion The modified Naogengtong decoction syndrome differentiation treatment applied in hemiplegia in recovery stage of cerebral infarction of Qi deficiency and blood stasis type,which can promote the improvement of cerebral blood circulation,reduce nerve damage and limb dysfunction,improving the ability of daily living and quality of life.
作者
柏杖勇
张东琴
BAI Zhangyong;ZHANG Dongqin(Interventional Department,Baoji City People's Hospital,Baoji 721000;General Medicine Department,No.987 Hospital of the PLA Joint Logistics Support Force,Baoji 721000,China)
出处
《临床医学研究与实践》
2021年第15期147-149,共3页
Clinical Research and Practice
关键词
脑梗死
偏瘫
气虚血瘀型
脑梗通汤
cerebral infarction
hemiplegia
Qi deficiency and blood stasis type
Naogengtong decoction
