首页|化瘀温胆汤联合常规西医治疗对痰瘀阻络型脑梗死恢复期患者神经功能和肢体功能的影响

化瘀温胆汤联合常规西医治疗对痰瘀阻络型脑梗死恢复期患者神经功能和肢体功能的影响

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目的:探究化瘀温胆汤联合常规西医治疗对痰瘀阻络型脑梗死恢复期患者神经功能和肢体功能的影响。方法:选取我院 2022 年 2 月~2024 年 1 月收治的 100 例脑梗死恢复期患者为研究对象。按照随机数字表将其分为对照组与观察组,各 50 例,对照组予以常规西医治疗及康复训练,观察在对照组基础上联合化瘀温胆汤治疗。比较两组治疗前后中医证候积分、神经功能[神经功能缺损评分(NIHSS)]、肢体功能[Fugl-Meyer 运动量表(FMA)、Berg 平衡量表(BBS)]、生活能力[Barthel指数(BI)评定量表]、神经因子指标[脑源性神经营养因子(BNDF)、神经生长因子(NGF)]。结果:治疗 2 个月后,两组中医证候积分、NIHSS均降低,且观察组均低于对照组(P<0。05),FMA上、下肢评分、BBS、BI、血清BDNF、NGF水平均升高,且观察组均高于对照组(P<0。05)。结论:化瘀温胆汤联合常规西医治疗应用于痰瘀阻络型脑梗死恢复期患者,可有效改善患者神经功能受损程度、肢体运动及平衡功能,进而提高患者生活质量,其作用机制可能与调控血清BDNF、NGF水平相关。
Influence of Huayu Wendan decoction combined with conventional western medicine therapy on neurological function and limb function in patients with convalescent cerebral infarction of phlegm-stasis blocking collateral type
Objective:To explore the influence of Huayu Wendan decoction combined with conventional western medicine thera-py on neurological function and limb function in patients with convalescent cerebral infarction of phlegm-stasis blocking collateral type.Methods:100patients with convalescent cerebral infarction in our hospital were selected from February 2022to January 2024as the re-search subjects.According to the random number table method,they were classified into control group(50cases)and observation group(50cases).The control group was treated with routine western medicine and rehabilitation training,while the observation group was given Huayu Wendan decoction on the basis of the control group.The TCM syndromes scores,neurological function[National In-stitutes of Health Stroke Scale(NIHSS)],limb function[Fugl-Meyer Assessment(FMA),Berg Balance Scale(BBS)],living ability[Barthel Index(BI)rating scale]and nerve factor indicators[brain-derived neurotrophic factor(BNDF),nerve growth factor(NGF)]were compared before and after treatment.Results:After 2months of treatment,the scores of TCM syndromes and score of NIHSS were declined in the two groups,and the above scores in observation group were lower than those in control group(P<0.05).The FMA upper limb and lower limb scores,BBS score,BI score and levels of serum BDNF and NGF were risen,and the observation group had higher scores and levels than those in control group(P<0.05).Conclusion:Huayu Wendan decoction combined with con-ventional western medicine therapy can effectively improve the neurological impairment degree,limb movement and balance function,and then enhance the quality of life in patients with convalescent cerebral infarction of phlegm-stasis blocking collateral type,and its role mechanism may be related to the regulations of serum BDNF and NGF levels.

Cerebral infarctionConvalescentHuayu Wendan decoctionNeurological functionLimb function

张向荣、黄琳、黄佳梅

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启东市人民医院中医科,江苏 启东 226200

脑梗死 恢复期 化瘀温胆汤 神经功能 肢体功能

2024

四川中医
四川省中医药学会,四川省中西医结合学会,四川省针灸学会,四川省中医药科学院

四川中医

CSTPCD
影响因子:0.522
ISSN:1000-3649
年,卷(期):2024.42(12)