首页|化痰通络汤联合常规西药治疗脑梗死风痰瘀阻证患者的效果

化痰通络汤联合常规西药治疗脑梗死风痰瘀阻证患者的效果

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目的:探讨化痰通络汤联合常规西药治疗脑梗死风痰瘀阻证患者的效果.方法:选取 2022 年 7 月至 2023 年 7 月该院收治的 80 例脑梗死患者进行前瞻性研究,根据随机数字表法将其分为对照组和观察组各 40 例.对照组采用常规西药治疗,观察组在其基础上联合化痰通络汤治疗.比较两组治疗前后神经功能[美国国立卫生研究院卒中量表(NIHSS)]评分、日常生活活动能力[Barthel指数(BI)]评分、中医证候积分、血液流变学指标水平及不良反应发生率.结果:治疗后,观察组NIHSS评分、中医证候积分、全血高切黏度、全血低切黏度、血浆黏度及血小板黏附率均低于对照组,BI评分高于对照组,差异有统计学意义(P<0.05);两组不良反应发生率比较,差异无统计学意义(P>0.05).结论:化痰通络汤联合常规西药治疗脑梗死风痰瘀阻证患者可加快症状缓解,降低中医证候积分,改善血液流变学指标水平,提高神经功能和日常生活活动能力,效果优于单纯常规西药治疗.
Effects of Huatan Tongluo decoction combined with conventional Western medicine in treatment of cerebral infarction patients with wind-phlegm and blood stasis syndrome
Objective:To explore effects of Huatan Tongluo decoction combined with conventional Western medicine in treatment of cerebral infarction patients with wind-phlegm and blood stasis syndrome.Methods:A prospective study was conducted on 80 patients with cerebral infarction admitted to the hospital from July 2022 to July 2023.According to the random number table method,they were divided into control group and observation group,40 cases in each group.The control group was treated with conventional Western medicine,while the observation group was treated with Huatan Tongluo decoction on the basis of that of the control group.The neurological function[National Institute of Health stroke scale(NIHSS)]score,the activities of daily living[Barthel index(BI)]score,the Traditional Chinese Medicine(TCM)syndrome score,the hemorheology index levels before and after the treatment,and the incidence of adverse reactions were compared between the two groups.Results:After the treatment,the NIHSS score,the TCM syndrome score,and the levels of high-shear whole blood viscosity,low-shear whole blood viscosity,plasma viscosity and platelet adhesion rate in the observation group were lower than those in the control group,the BI score was higher than that in the control group,and the differences were statistically significant(P<0.05).Conclusions:Huatan Tongluo decoction combined with conventional Western medicine in the treatment of the cerebral infarction patients with wind-phlegm and blood stasis syndrome can accelerate symptom relief,reduce the TCM syndrome scores,improve the hemorheology index levels,and improve the neurological function and the activities of daily living.Moreover,it is superior to single western medicine treatment.

Huatan Tongluo decoctionCerebral infarctionWind-phlegm and blood stasis syndromeNeurological functionTCM syndrome scoreHemorheology

乔战科、孙会秀、孙成铭、孙纪伟、吴平荣、江璐宇、王振坤

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开封市中医院脑病一区,河南 开封 475000

化痰通络汤 脑梗死 风痰瘀阻证 神经功能 中医证候积分 血液流变学

开封市科技发展项目

2203102

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(7)
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