目的:观察半夏白术天麻汤加减联合康复训练对风痰瘀阻型急性脑梗死合并H型高血压患者神经功能及生活质量的影响.方法:将182 例风痰瘀血型急性脑梗死合并H型高血压患者按照随机数字表法分为对照组和观察组,每组各 91 例.两组均接受西医基础治疗,对照组给予康复训练治疗,观察组在对照组治疗的基础上联合半夏白术天麻汤加减.比较两组患者的临床疗效及治疗前后中医证候积分、美国国立卫生研究院卒中量表(national institutes of health stroke scale,NIHSS)评分、世界卫生组织生活质量评定简表(world health organization quality of life-bref,WHOQOL-BREF)评分、收缩压(systolic blood pressure,SBP)、舒张压(diastolic blood pressure,DBP)、同型半胱氨酸(homocysteine,Hcy)水平变化情况.结果:观察组有效率为94.51%,明显高于对照组的75.82%,差异具有统计学意义(P<0.05).两组患者治疗后中医证候积分、NIHSS评分低于本组治疗前,WHOQOL-BREF评分高于本组治疗前,且治疗后组间比较,差异具有统计学意义(P<0.05).两组患者治疗后HCY、SBP、DBP水平低于本组治疗前,且观察组治疗后低于对照组(P<0.05).结论:半夏白术天麻汤加减结合康复训练治疗风痰瘀阻型急性脑梗死合并H型高血压,临床疗效确切,可促进患者神经功能的恢复,提高患者的生活质量.
Clinical Study on Modified Pinellia and White Atractylodes and Gastrodia Decoction Combined with Rehabilitation Training in Treating Acute Cerebral Infarction of Wind and Phlegm and Blood Stasis Type with H-type Hypertension
Objective:To observe the effects of Modified Pinellia and White Atractylodes and Gastrodia Decoction combined with rehabili-tation training on neurological function and quality of life in patients with acute cerebral infarction of the phlegm,wind,and blood stasis type,complicated by H-type hypertension.Methods:A total of 182 patients with acute cerebral infarction of the phlegm,wind,and blood stasis type,complicated by H-type hypertension,were randomly divided into the control group and the observation group,with 91 pa-tients in each group.Both groups received standard Western medical treatment.The control group was additionally given rehabilitation therapy,while the observation group received additional Modified Pinellia and White Atractylodes and Gastrodia Decoction.The Clinical efficacy,the changes in TCM syndrome scores,National Institutes of Health Stroke Scale(NIHSS)scores,World Health Organization Quality of Life-BREF(WHOQOL-BREF)scores,systolic blood pressure(SBP),diastolic blood pressure(DBP),and homocysteine(Hcy)levels in both groups were compared before and after treatment.Results:The effective rate in the observation group was 94.51%,significantly higher than 75.82%in the control group,with a statistically significant difference(P<0.05).Both groups showed lower TCM syndrome scores and NIHSS scores and higher WHOQOL-BREF scores after treatment compared to pre-treatment,with significant differences between the two groups(P<0.05).Additionally,Hcy,SBP,and DBP levels were lower in both groups than those before treatment,and the observation group showed greater improvements than the control group after treatment(P<0.05).Con-clusion:Modified Pinellia and White Atractylodes and Gastrodia Decoction combined with rehabilitation training is effective in treating acute cerebral infarction of the phlegm,wind,and blood stasis type complicated with H-type hypertension.It can promote neurological recovery and improve the quality of life of patients.
acute cerebral infarctionH-type hypertensionsyndrome of wind-phlegm and blood stasis obstructionPinellia and White At-ractylodes and Gastrodia Decoctionrehabilitation training
万方数据
维普
