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目的:探讨祛瘀止痛方辅助西医治疗急性缺血性中风气虚血瘀证临床效果。方法:研究对象选取医院2013年7月—2015年7月收治急性缺血性中风气虚血瘀证患者共140例,以随机数字表法分为对照组(70例)和治疗组(70例),分别给予西医常规对症干预治疗和在此基础上加用祛瘀止痛方辅助治疗;比较两组患者近期疗效,治疗前后CSS评分、ADL-Barthel指数评分、血脂指标水平及血液流变学指标水平等。结果:治疗组患者近期疗效显著优于对照组(P<0.05);治疗组患者治疗后CSS评分和ADL-Barthel指数评分均显著优于对照组、治疗前(P<0.05);治疗组患者治疗后血脂指标水平均显著优于对照组、治疗前(P<0.05);同时观察组患者治疗后血液流变学指标水平均显著低于对照组、治疗前(P<0.05)。结论:祛瘀止痛方辅助西医治疗急性缺血性中风气虚血瘀证可有效促进受损神经功能恢复,提高日常生活质量,并有助于改善血脂和血液流变学指标水平。
Objective: To investigate the clinical effects of Quyu Zhitong Recipe aided western medicine in treating acute ischemic stroke with deficiency of Qi and blood stasis. Methods: A total of 140 patients with acute ischemic stroke and deficiency of Qi and blood stasis were selected from July 2013 to July 2015 in the hospital. They were divided into control group (70 cases) and treatment group (70 cases) by random number table. , Respectively, to give Western conventional symptomatic intervention and on this basis with the addition of Quyu Zhitong Fang adjuvant therapy; compare the two groups of patients with short-term efficacy, CSS score before and after treatment, ADL-Barthel index score, blood lipid levels and indicators of hemorheology Wait. Results: The curative effect of the treatment group was significantly better than that of the control group (P <0.05). CSS score and ADL-Barthel index of the treatment group were significantly better than the control group before treatment (P <0.05); treatment group patients treatment (P <0.05). After treatment, the levels of hemorheology indexes in the observation group were significantly lower than those in the control group before treatment (P <0.05). Conclusion: Quyu Zhitong Recipe helps western medicine to treat acute ischemic stroke Qi deficiency and blood stasis syndrome can effectively promote the recovery of damaged nerve, improve the quality of daily life, and help to improve the level of blood lipid and hemorheology indexes.