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目的:观察血逐府瘀汤加减治疗老年性脑梗塞的临床疗效。方法:2003年1月至2009年1月,150例急性老年脑梗死随机分为两组,对照组75例仅采用常规治疗,观察组75例在此基础上采用血逐府瘀汤加减治疗,对比观察治疗前后两组的临床疗效、神经功能缺损程度及中医证候积分的变化。结果:观察组的总有效率为89.3%,明显高于对照组的73.3%(P<0.05)。两组治疗后神经功能缺损程度评分、中医证候积分明显下降(P<0.05),并且观察组神经功能缺损程度评分、中医证候积分明显低于同期对照组(P<0.05)。结论:血逐府瘀汤加减对老年性脑梗塞进行治疗,有助于临床疗效的提高以及神经功能的改善,值得临床推广应用。
Objective: To observe the clinical effect of Xuezhuyuyu Decoction on senile cerebral infarction. Methods: From January 2003 to January 2009, 150 cases of acute cerebral infarction were randomly divided into two groups, 75 cases in the control group were treated with conventional therapy only. 75 cases in the observation group were treated with Xuezhuyuyu Decoction on the basis of this, The changes of clinical curative effect, neurological deficit and TCM syndrome score before and after treatment were observed and compared. Results: The total effective rate in the observation group was 89.3%, which was significantly higher than that in the control group (73.3%, P <0.05). After treatment, the score of neurological deficit and TCM syndrome score were significantly decreased (P <0.05), and the neurological deficit score and TCM syndrome score in the observation group were significantly lower than those in the control group (P <0.05). Conclusion: The treatment of senile infarction by Xuezu Fuyu Decoction is helpful to the improvement of clinical efficacy and neurological function, which deserves clinical application.