首页|补偏愈风汤治疗气血亏虚型急性脑梗死的临床疗效分析

补偏愈风汤治疗气血亏虚型急性脑梗死的临床疗效分析

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目的 分析补偏愈风汤治疗气血亏虚型急性脑梗死的临床疗效。方法 纳入濮阳市中医医院 2021 年 10 月至2023 年 10 月气血亏虚型急性脑梗死患者(72 例)为研究样本,按随机单双数抽签法划分组别,36 例单数入对照组,予常规治疗;另外 36 例双数者入研究组,在常规治疗开展前提下进行补偏愈风汤治疗。对比两组治疗有效率、治疗前后美国国立卫生研究院卒中量表(NIHSS)评分、治疗前后中医症候积分、治疗前后改良Rankin量表(mRS)评分及不良反应发生情况。结果 研究组治疗有效率(94。44%)高于对照组(75。00%),差异具有统计学意义(P<0。05);治疗前两组NIHSS评分对比差异无统计学意义(P>0。05),治疗后两组NIHSS评分低于治疗前,且研究组NIHSS评分低于对照组,差异均有统计学意义(P<0。05);治疗前两组脑梗死半身不遂、肢体萎软、舌歪语骞、耳鸣目眩中医症候积分对比差异无统计学意义(P>0。05),治疗后两组脑梗死半身不遂、肢体萎软、舌歪语骞、耳鸣目眩中医症候积分低于治疗前,且研究组评分低于对照组,差异均有统计学意义(P<0。05);治疗前两组mRS评分对比差异无统计学意义(P>0。05),治疗后两组mRS评分低于治疗前,且研究组mRS评分低于对照组,差异均有统计学意义(P<0。05);两组用药治疗期间不良反应发生率对比差异无统计学意义(P>0。05)。结论 补偏愈风汤在气血亏虚型急性脑梗死中的临床疗效理想,且用药安全性有保障,值得应用。
Clinical Efficacy Analysis of Bupian Yufeng Decoction in Treating Acute Cerebral Infarction with Qi and Blood Deficiency Type
Objective To analyze the clinical efficacy of Bupian Yufeng Decoction in treating acute cerebral infarction with Qi and blood deficiency Type.Methods A total of 72 patients diagnosed with acute cerebral infarction of Qi and blood deficiency Type who were admitted to Puyang Traditional Chinese Medicine Hospital from October 2021 to October 2023 were selected for the study.Patients were randomly assigned to two groups using odd-even number drawing:the control group(36 cases)received conventional treatment,while the study group(36 cases)received Bupian Yufeng Decoction in addition to conventional treatment.The treatment efficacy,changes in the National Institutes of Health Stroke Scale(NIHSS)scores before and after treatment,Traditional Chinese Medicine syndromic scores,modified Rankin Scale(mRS)scores before and after treatment,and incidence of adverse reactions were compared between the two groups.Results The treatment efficacy rate of the study group(94.44%)was significantly higher than that of the control group(75.00%),with a statistically significant difference(P<0.05).There was no significant difference in NIHSS scores between the two groups before treatment(P>0.05).After treatment,both groups had lower NIHSS scores compared to before treatment,with the study group exhibiting lower NIHSS scores than the control group the difference was statistically significant(P<0.05).Comparing Traditional Chinese Medicine syndromic scores for hemiplegia,limb flaccidity,tongue deviation,tinnitus,and dizziness before treatment between the two groups showed no significant difference(P>0.05).After treatment,both groups had lower syndromic scores compared to before treatment,and the scores of the study group were lower than those of the control group the difference was statistically significant(P<0.05).There were no significant differences in mRS scores between the two groups before treatment(P>0.05);after treatment,both groups had lower mRS scores than before,with the study group demonstrating lower mRS scores compared to the control group the difference was statistically significant(P<0.05).There were no significant differences in the incidence of adverse reactions between the two groups during treatment(P>0.05).Conclusion Bupian Yufeng Decoction demonstrates ideal clinical efficacy in treating acute cerebral infarction with Qi and blood deficiency type,with a guarantee of medication safety,making it a valuable treatment option.

Bupian Yufeng Decoctionacute cerebral infarction with qi and blood deficiency typeNIHSSTraditional Chinese Medicine syndromic scoremodified rankin scale

赵合强

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濮阳市中医医院 脑病科,河南 濮阳 457000

补偏愈风汤 气血亏虚型急性脑梗死 神经缺损程度量表 中医症候积分 脑卒中预后评分

2024

临床研究
西安交通大学

临床研究

影响因子:0.234
ISSN:2096-1278
年,卷(期):2024.32(12)