补阳还五汤与早期康复训练+心理疏导联合西药治疗缺血性脑中风(气阴两虚、瘀血阻络)随机平行对照研究  

Buyang Huanwu Decoction(补阳还五汤) combined with Early Rehabilitation Training and Psychological Counseling Combined Western Medicine Treatment of Ischemic Stroke(Qi and Yin Deficiency, Blood Stasis Obstructing Collaterals/气阴两虚、瘀血阻络) Randomized P

作　　者：黄霞 HUANG Xia(Department of Neurology,traditional Chinese Medicine Hospital of Yuanyang County,Yuanyang 453500,Henan,China)

机构地区：[1]河南省原阳县中医院神经内科,河南原阳453500

出　　处：《实用中医内科杂志》2018年第10期53-56,共4页Journal of Practical Traditional Chinese Internal Medicine

摘　　要：[目的]观察补阳还五汤与早期康复训练+心理疏导联合西药治疗缺血性脑中风(气阴两虚、瘀血阻络)疗效。[方法]使用随机平行对照方法,将88例住院患者按就诊顺序号简单随机分两组;降颅压、控制血压、血糖、氧疗等对症治疗。对照组44例补阳还五汤(黄芪生40g,当归、地龙、赤芍药、鸡血藤各15g,川芎、红花、桃仁、桂枝、杜仲、川牛膝、桑枝、川续断各10g),1剂/d,水煎300mL,早晚饭后30min服用。治疗组44例,早期康复训练:在患者病情稳定,生命体征稳定3d后,面部神经肌肉、舌部肌肉、肢体锻炼等,被动训练→主动训练,针对性训练(生活能力穿衣、洗漱、行走等);心理疏导;补阳还五汤治疗同对照组。连续治疗4周为1疗程。观测临床表现、QOL、Barthel、血小板聚集率、不良反应。治疗1疗程,判定疗效。随访半年,观测血小板聚集率。[结果]疗程结束、治疗后12周、半年QOL、Barthel、血小板聚集率两组均有明显改善(P<0.01),治疗组改善优于对照组(P<0.01)。[结论]补阳还五汤与康复训练+心理疏导联合西药治疗缺血性脑中风(气阴两虚、瘀血阻络),疗效满意,无严重不良反应,远期效果巩固,值得推广。[Objective] To observe the curative effect of Buyang Huanwu decoction combined with early rehabilitation training and psychological counseling on ischemic cerebral apoplexy(deficiency of both Qi and Yin,blood stasis blocking collaterals).[Methods] 88 hospitalized patients were randomly divided into two groups according to the order of visiting,and were given symptomatic treatment such as lowering intracranial pressure,controlling blood pressure,blood glucose and oxygen therapy.In the control group,44 cases were treated with Buyang Huanwu decoction(40 g raw Astragalus membranaceus,15 g Chinese angelica,15 g earthworm,15 g red peony root,15 g foxtail caulis,10 g Chuanxiong,safflower,peach kernel,cinnamon twig,Eucommia ulmoides ulmoides,Achyranthes bidentata,mulberry twig,10 g Chuanxiong,1 dose per day,300 mL decocted in water,taken 30 minutes after breakfast and supper In the treatment group,44 cases were given early rehabilitation training:facial nerve muscle,tongue muscle,limb exercises,passive training active training,targeted training(life ability dressing,washing,walking,etc.);psychological counseling;Buyang Huanwu decoction was used as the control group after 3 days of stable illness and vital signs.Continuous treatment for 4 weeks was 1 courses.Clinical symptoms,QOL,Barthel,platelet aggregation rate and adverse reactions were observed.Treatment of 1 courses,determine the curative effect.The platelet aggregation rate was observed after half a year of follow-up.[Results] QOL,Barthel and platelet aggregation rate of the two groups were significantly improved at the end of treatment,12 weeks and half a year after treatment(P<0.01).The improvement of the treatment group was better than that of the control group(P<0.01).[Conclusion] Buyang Huanwu Decoction combined with rehabilitation training and psychological counseling combined with western medicine in the treatment of ischemic cerebral apoplexy(deficiency of both Qi and Yin,blood stasis blocking collaterals),the curative effect is satisfactory,no serious adver

关 键 词：缺血性脑中风 气阴两虚 瘀血阻络 补阳还五汤 康复训练 被动训练 主动训练 '心理疏导 QOL Barthel 血小板聚集率 中西医结合治疗 中药复方 随机平行对照研究 

分 类 号：R743.3[医药卫生—神经病学与精神病学]