首页|化痰祛瘀汤加减治疗急性脑梗死患者的疗效及对神经功能和生活能力的影响探讨

化痰祛瘀汤加减治疗急性脑梗死患者的疗效及对神经功能和生活能力的影响探讨

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目的 探讨化痰祛瘀汤加减治疗急性脑梗死(ACI)患者的疗效及对神经功能和生活能力的影响。方法 92 例ACI患者,随机分为观察组及对照组,各 46 例。对照组患者给予常规西医治疗,观察组在对照组基础上加用化痰祛瘀汤加减治疗。比较两组患者治疗前后美国国立卫生研究院卒中量表(NIHSS)评分、日常生活能力量表(ADL)评分、中医证候积分及临床疗效。结果 治疗后,两组患者NIHSS评分及中医证候积分均显著低于治疗前,ADL评分高于治疗前,且观察组患者NIHSS评分(14。65±1。53)分及中医证候积分(4。54±1。03)分均低于对照组的(19。24±1。96)、(6。36±1。21)分,ADL评分(71。86±4。31)分高于对照组的(62。35±4。17)分(P<0。05)。观察组患者总有效率 86。96%显著高于对照组的 67。39%(P<0。05)。结论 应用化痰祛瘀汤加减治疗ACI,可有效改善患者神经功能和生活能力,提高临床疗效,值得临床推广。
Efficacy of modified Huatan Quyu Decoction on patients with acute cerebral infarction and its influence on neurological function and living ability
Objective To explore the efficacy of modified Huatan Quyu Decoction on patients with acute cerebral infarction(ACI)and its influence on neurological function and living ability.Methods 92 patients with ACI were randomly divided into an observation group and a control group,with 46 cases in each group.The control group was treated with conventional Western medicine,and the observation group was treated with modified Huatan Quyu Decoction on the basis of the control group.The National Institutes of Health Stroke Scale(NIHSS)score,activities of daily living scale(ADL)score,traditional Chinese medicine syndrome score before and after treatment,and clinical efficacy of the two groups were compared.Results After treatment,NIHSS score and traditional Chinese medicine syndrome score in both groups were significantly lower than those before treatment,and ADL score was higher than that before treatment;the observation group had NIHSS score of(14.65±1.53)points and traditional Chinese medicine syndrome score of(4.54±1.03)points,which were lower than(19.24±1.96)and(6.36±1.21)points in the control group;ADL score of(71.86±4.31)points in the observation group was higher than(62.35±4.17)points in the control group(P<0.05).The total effective rate of 86.96%in the observation group was significantly higher than 67.39%in the control group(P<0.05).Conclusion The application of modified Huatan Quyu Decoction in the treatment of ACI can effectively improve the neurological function and living ability of patients,enhance the clinical efficacy,and is worthy of clinical promotion.

Acute cerebral infarctionHuatan Quyu DecoctionNeurological functionLiving ability

吕晓洲

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118000 丹东市中医院脑病科

急性脑梗死 化痰祛瘀汤 神经功能 生活能力

2024

中国现代药物应用
中国水利电力医学科学技术学会

中国现代药物应用

影响因子:0.862
ISSN:1673-9523
年,卷(期):2024.18(24)