论文部分内容阅读
目的观察平肝涤痰通络汤结合西医常规疗法治疗脑梗死恢复期风痰瘀阻证的临床疗效。方法将120例风痰瘀阻型脑梗死恢复期患者随机分为治疗组和对照组,每组60例;两组均予常规治疗,治疗组同时加用平肝涤痰通络汤,对照组加服天麻醒脑胶囊;两组疗程均为28天,观察临床疗效及中医证候积分、神经功能缺损程度(NIHSS)评分变化情况。结果治疗组、对照组总有效率分别为98.3%、95.0%;组间临床疗效比较,差异有统计学意义(P<0.05)。治疗前后组内比较,治疗组中医证候及NIHSS评分差异均有统计学意义(P<0.05),对照组中医证候评分差异有统计学意义(P<0.05);组间治疗后比较,中医证候积分及NIHSS评分差异均有统计学意义(P<0.05)。结论平肝涤痰通络汤结合西医常规疗法用于治疗脑梗死恢复期风痰瘀阻证疗效良好,可明显改善患者的临床症状,促进神经功能的恢复。
Objective To observe the clinical efficacy of Pinggan Ditan Tongluo Decoction combined with routine western medicine in treating phlegm and stasis syndrome during cerebral infarction recovery. Methods 120 patients with wind-phlegm and blood stasis type cerebral infarction recovery were randomly divided into treatment group and control group, with 60 cases in each group. Both groups were given routine treatment. The treatment group was treated with Pinggan Ditan Tongluo Decoction and control group Plus Tianma Xingnao Capsule; both treatment course were 28 days, observe the clinical efficacy and TCM syndrome score, neurological deficit score (NIHSS) score changes. Results The total effective rates of the treatment group and the control group were 98.3% and 95.0%, respectively. There was significant difference between the two groups in clinical efficacy (P <0.05). There were significant differences in TCM syndromes and NIHSS scores between the two groups before and after treatment (P <0.05), and there was significant difference in TCM syndrome scores between the two groups (P <0.05). After treatment, Syndrome points and NIHSS score differences were statistically significant (P <0.05). Conclusion Pinggan Ditan Tongluo Decoction combined with conventional western medicine is effective in treating wind-phlegm and stasis syndrome in convalescent stage of cerebral infarction. It can significantly improve the clinical symptoms and promote the recovery of neurological function.