芪参通络汤治疗缺血性中风的临床研究  

Clinical Observation on Qishen Tongluo Decoction for Treatment of Ischemic Stroke

作　　者：高磊[1] 陈龙霏 厉建爱 隋晓琳[1] 张宪忠[1] 李莉[1] 

机构地区：[1]山东中医药大学附属日照市中医医院,山东日照276800

出　　处：《中西医结合心脑血管病杂志》2015年第6期736-739,共4页Chinese Journal of Integrative Medicine on Cardio-Cerebrovascular Disease

基　　金：山东省中医药科技发展计划项目(No.2011-292)

摘　　要：目的观察自拟芪参通络汤治疗缺血性中风的临床疗效。方法将160例气虚血瘀兼水湿停滞型缺血性中风病人随机分为治疗组和对照组。对照组采用常规治疗,治疗组在常规治疗的基础上给予自拟芪参通络汤口服,疗程为14d。观察比较两组临床疗效、中医证候疗效及治疗前后神经功能缺损评分改善情况。结果治疗组治疗后14d临床疗效总有效率为87.0%,优于对照组的74.4%,差异有统计学意义(P<0.05);治疗组治疗后14d中医证候疗效总有效率为91.0%,优于对照组的83.3%,差异有统计学意义(P<0.01)。两组治疗后神经功能缺损评分较治疗前改善明显,但改善程度治疗组优于对照组,差异有统计学意义(P<0.05)。结论早期使用自拟芪参通络汤治疗缺血性中风能更好地提高疗效,促进神经功能恢复,改善病人的神经功能缺损症状及日常生活的活动能力。Objective To observe the clinical effect of Qishen Tongluo decoction(QTD)for treatment of ischemic stroke.Methods One hundred and sixty patients with qi deficiency,blood stasis and wet stagnation syndrome were divided into two groups:Control group treated by routine treatment,treatment group treated by QTD and routine treatment for 14 days.The clinical curative effect,the efficacy of traditional Chinese medicine(TCM)and the nerve function (The NIHSS score and Barthel index)were observed,and the data were statistical y analyzed.Results After 14 days,the clinical curative effect,the efficacy of TCM and the nerve function in treat-ment group was significantly higher than that in control group of before and after treatment(P<0.05 or P<0.01).Conclusion The early use of QTD in ischemic stroke can improve the clinical effect,recovery of nerve function and symptoms of the neurologic impair-ment and activities of daily living ability.

关 键 词：缺血性中风 芪参通络汤 气虚血瘀证 神经功能缺损评分 

分 类 号：R277.7[医药卫生—中医学]