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醒脑开窍汤辅助治疗脑梗死恢复期的效果研究

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目的 探讨在治疗脑梗死恢复期患者中采用醒脑开窍汤辅助的应用效果.方法 随机选取2021年8月—2023年8月南靖县中医院收治的80例脑梗死恢复期患者为研究对象,根据治疗方法的不同分成对照组和观察组,各40例.对照组接受常规治疗,观察组接受常规加醒脑开窍汤辅助治疗,对比两组治疗效果、中医证候积分、神经缺损程度、日常生活活动能力、不良反应发生情况.结果 观察组治疗总有效率97.50%(39/40)高于对照组的80.00%(32/40),差异有统计学意义(χ2=4.507,P<0.05).治疗前,两组患者的中医证候积分对比,差异无统计学意义(P>0.05);治疗后,观察组中医证候积分低于对照组,差异有统计学意义(P<0.05).治疗后,观察组美国国立卫生研究院卒中量表评分低于对照组,日常生活活动能力评分高于对照组,差异有统计学意义(P均<0.05).两组患者的不良反应总发生率对比,差异无统计学意义(P>0.05).结论 在治疗脑梗死恢复期患者时,采用醒脑开窍汤辅助治疗后临床症状、神经功能缺损状态得到改善,日常生活活动能力在一定程度上得到增强,安全性较高.
A Study on the Effect of Xingnao Kaiqiao Tang as an Adjuvant Treatment for the Recovery Period of Cerebral Infarction
Objective To explore the application effect of Xingnao Kaiqiao Tang in the treatment of patients with cere-bral infarction recovery period.Methods A total of 80 patients with cerebral infarction recovery period admitted to Nanjing County Traditional Chinese Medicine Hospital from August 2021 to August 2023 were selected randomly as the research objects.According to different treatment methods,they were divided into control group and observation group,with 40 cases in each group.The control group received routine treatment,and the observation group received routine treatment plus Xingnao Kaiqiao Tang.The therapeutic effect,traditional Chinese medicine syndrome score,nerve defect degree,daily living activity ability and adverse reactions were compared between the two groups.Results The total effective rate of treatment in the observation group was 97.50%(39/40),which was higher than that in the control group 80.00%(32/40),the difference was statistically significant(χ2=4.507,P<0.05).Before treatment,there was no significant difference in traditional Chinese medicine syndrome scores between the two groups(P>0.05);after treatment,the traditional Chinese medicine syndrome score of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).After treatment,the National Institutes of Health Stroke Scale score of the observation group was lower than that of the control group,and the activity of daily living score was higher than that of the control group,the differences were statistically significant(both P<0.05).There was no significant difference in the total incidence of adverse reactions between the two groups(P>0.05).Conclusion In the treatment of patients with cerebral infarction recovery period,the clinical symptoms and neurological deficit were improved after the use of adjuvant treatment,and the ability of daily living activities was enhanced to a certain extent,with high safety.

Xingnao Kaiqiao TangCerebral infarction recovery periodTherapeutic effectAdverse reactions

邓小妹、陈海强

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南靖县中医院中医内科,福建 漳州 363000

南靖县中医院临床内科,福建 漳州 363000

醒脑开窍汤 脑梗死恢复期 治疗效果 不良反应

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(32)