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[目的]观察补阳还五汤联合西药治疗脑梗塞后遗症疗效。[方法]使用随机平行对照方法,将104例住院患者按掷骰子法简单随机分为两组。对照组52例阿司匹林,50mg/次,1次/d。治疗组52例补阳还五汤(黄芪30g,当归、赤芍各15g,桃仁、地龙、红花各10g;语言表达障碍加石菖蒲10g;口角歪斜加全蝎、白附子、僵蚕各5g;下肢障碍加天麻10g;上肢偏痪加桂枝10g;便秘加肉苁蓉10g),1剂/d,水煎300m L,早晚口服;西药治疗同对照组。连续治疗14d为1疗程。观测临床症状、偏瘫、眩晕、不良反应。连续治疗2疗程,判定疗效。[结果]治疗组痊愈10例,显效30例,有效9例,无效3例,总有效率94.23%。对照组痊愈5例,显效15例,有效21例,无效11例,总有效率78.84%。治疗组疗效优于对照组(P<0.05)。[结论]补阳还五汤联合西药治疗脑梗塞后遗症效果显著,值得推广。
[Objective] To observe the curative effect of Buyang Huanwu Decoction combined with western medicine on sequelae of cerebral infarction. [Methods] Using randomized parallel control method, 104 inpatients were randomly divided into two groups according to the method of dice rolling. The control group of 52 aspirin, 50mg / time, 1 / d. The treatment group, 52 cases of Buyang Huanwu Decoction (Astragalus 30g, angelica, red peony 15g, peach kernel, earthworm, saffron 10g each; language dysfunction plus Gladiolus 10g; mouth skew plus Scorpio, white aconite, silkworm each 5g; lower extremity disorders plus Tianma 10g; upper limb paralysis plus Guizhi 10g; constipation plus Cistanche 10g), 1 / d, decoction 300m L, morning and evening oral; Western medicine treatment with the control group. Continuous treatment 14d for a course of treatment. Observation of clinical symptoms, hemiplegia, dizziness, adverse reactions. Continuous treatment of 2 courses to determine the efficacy. [Result] In the treatment group, 10 cases were cured, 30 cases were markedly effective, 9 cases were effective and 3 cases were ineffective. The total effective rate was 94.23%. The control group recovered in 5 cases, markedly effective in 15 cases, effective in 21 cases, ineffective in 11 cases, the total effective rate was 78.84%. The treatment group was better than the control group (P <0.05). [Conclusion] Buyang Huanwu Decoction combined with western medicine is effective in treating sequelae of cerebral infarction and is worth promoting.