以“脑心脾同治”立论治疗缺血性脑卒中后遗症71例  

71 Cases with Ischemic Stroke Sequela Treated Based on the Theory of "Simultaneous Treatment for Brain,Heart and Spleen"

作　　者：罗刚[1] 

机构地区：[1]北京市鼓楼中医医院,北京100009

出　　处：《河南中医》2015年第4期736-738,共3页Henan Traditional Chinese Medicine

基　　金：北京市科技攻关计划项目(编号:71973742)

摘　　要：目的:观察以"脑心脾同治"立论治疗缺血性脑卒中后遗症的临床疗效。方法:将126例缺血性脑卒中后遗症患者随机分为两组,对照组55例给予常规治疗措施,观察组71例在对照组治疗的基础上给予依"脑心脾同治"理论所拟方剂,连续治疗2个月,观察两组的临床疗效。结果:观察组有效率为85.91%,对照组有效率为67.27%,两组有效率比较,差异有显著性(P<0.05);治疗后观察组TNF-α、IL-6与对照组比较均有显著性差异(P<0.05);治疗后观察组神经功能缺损评分、Mo CA量表、Barthel指数得分情况与对照组比较有显著性差异(P<0.05)。结论:以"脑心脾同治"立论治疗缺血性脑卒中后遗症疗效确切。Objective：To observe the clinical effect of ＂simultaneous treatment for brain,heart and spleen＂ on ischemie stroke se- quela （ISS）. Methods ：126 cases with ISS were randomized into two group. Contrail group （55 cases） were given conventional treatment;observation group （71 cases） were addtionally given the formula prescribed according to the theory of ＂ simuhaneous treatment for brain,heart and spleen＂ for 2 month in succession. The elinical effects of both groups were observed. Results：The ef- fective rate was 85.91% in observation group and 67.27% in control group. By comparison, the difference is significant （P 〈 0.05 ）. After the treatment,the TNF-c~ and IL-6 in observation group were significantly different from these in eontrol group （P 〈 0. 05）. The scores of neurologie impairment,MoCA scale, Barthel index in observation group were all significantly different from these in control group （ P 〈 0.05 ）. Conclusion ：＂ Simuhaneous treatment for brain,heart and spleen＂ has definite effect on ISS.

关 键 词：缺血性脑卒中 后遗症 “脑心脾同治” 

分 类 号：R255.2[医药卫生—中医内科学]