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天麻钩藤饮辅治急性脑梗死肝阳上亢证临床观察

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目的:观察天麻钩藤饮辅治急性脑梗死肝阳上亢证的临床疗效。方法:81例随机分为对照组40例和观察组41例,两组均给予西医基础治疗,观察组加用天麻钩藤饮饮治疗。结果:两组总有效率、不良反应发生率比较差异无统计学意义(P>0。05),观察组治疗后中医证候积分、NIHSS评分低于对照组(P<0。05),观察组治疗后Hcy、vWF水平低于对照组(P<0。05)。结论:天麻钩藤饮辅治急性脑梗死肝阳上亢证可促进神经功能恢复,改善症状及Hcy、vWF水平。
Objective:To observe the clinical effect of Tianma Gouteng Decoction in adjuvant treatment of acute cerebral infarction with liver yang hyperactivity syndrome.Methods:Eighty-one cases were randomly divided into control group(40 cases)and observation group(41 cases).Both groups were given basic treatment of western medicine,and the observation group were treated with Tianma Gouteng Decoction in addition.Results:There was no significant difference in the total effective rate and the incidence of adverse reactions between the two groups(P>0.05).After treatment,the scores of TCM syndromes and NIHSS in the observation group were lower than those in the control group(P<0.05).After treatment,the levels of Hcy and vWF in the observation group were lower than those in the control group(P<0.05).Conclusion:Tianma Gouteng Decoction could promote the recovery of neurological function,improve symptoms and Hcy and vWF levels in adjuvant treatment of acute cerebral infarction with hyperactivity of liver yang.

Acute cerebral infarctionLiver yang hyperactivity syndromeTianma Gouteng DecoctionControl treatment and observation

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河南省新密市中医院脑病三科,河南 新密 452370

急性脑梗死 肝阳上亢证 天麻钩藤饮 对照治疗观察

2024

实用中医药杂志
重庆医科大学中医药学院

实用中医药杂志

影响因子:0.546
ISSN:1004-2814
年,卷(期):2024.40(7)