加服补阳还五汤治疗气虚血瘀型急性脑梗死疗效观察  

Observation of Clinical Effect of Buyang Huanwu Decoction on Acute Cerebral Infarction with Pattern of Qi Deficiency and Blood Stagnation

作　　者：卢昌均[1] 安红伟[1] 鹿俊磊[1] 韦冰心[1] 

机构地区：[1]柳州市中医院,广西柳州545001

出　　处：《广西中医学院学报》2012年第1期6-8,共3页Journal of Guangxi Traditional Chinese Medical University

基　　金：广西壮族自治区卫生厅自筹课题(Z2008424)

摘　　要：[目的]评价加服补阳还五汤对气虚血瘀型急性脑梗死患者中医证候及生活能力的疗效。[方法]520例气虚血瘀型急性脑梗死患者随机分为两组各260例,对照组采用西医基础治疗,观察组在对照组治疗基础上服用补阳还五汤,观察两组疗效。[结果]中医证候积分观察组与治疗前比较明显降低(P<0.05),对照组与治疗前比较差异无统计学意义(P>0.05);观察组治疗后NIHSS评分明显低于对照组(P<0.01)。治疗1个月后,观察组显效率高于对照组(P<0.05)。[结论]补阳还五汤能改善气虚血瘀型急性脑梗死患者的中医证候,提高患者的生活能力。[Objective] To evaluate the effect of buyartg huanwu decoction on TCM syndrome and life ability among acute cerebral infarction patients of qi deficiency and blood stagnation pattern.[Methods]520 cases with acute cerebral infarction of qi deficiency and blood stagnation pattern were randomly divided into two groups, with 260 for each. Basic western treatment was given to the control group, buyang huanwu decoction was added to observation group besides basic western treatment, and therapeutic effect of both groups was observed. [Results] Patients＇ scores of TCM syndrome in observation group were lowered after the treatment （P〈 0.05）, while statistically insignificant in control group（P〉0.05）. NIHSS scores in observation group were significantly lower than those in control group after treatment （P〈0.01）. One month after the medication, effective rate in observation group was higher than that in control group （P〈0.05）. [ Conclusion ]Buyang huanwtt decoction could improve TCM syndrome and life ability for acute cerebral infarction patients of qi deficiency and blood stagnation.

关 键 词：急性脑梗死 气虚血瘀 补阳还五汤 

分 类 号：R255.2[医药卫生—中医内科学]