血府逐瘀汤治疗缺血性脑卒中  

Treatment of ischemic stroke by blood operator by stasis decoction

作　　者：朱卫东[1] 

机构地区：[1]睢宁县人民医院中医内科,江苏睢宁221200

出　　处：《吉林中医药》2015年第9期907-910,共4页Jilin Journal of Chinese Medicine

基　　金：江苏省自然科学基金项目(BK2006558)

摘　　要：目的探讨血府逐瘀汤治疗缺血性脑卒中的临床疗效。方法选取160例缺血性脑卒中患者,按随机数字表分为治疗组与对照组,每组80例。对照组患者给予依拉达奉注射剂常规治疗,并加用脱水降颅压、减轻脑水肿、抗血小板、脑细胞保护、神经营养及维持水电解质平衡等;治疗组在对照组基础上加用血府逐瘀汤(当归、生地黄、桃仁、红花、枳壳、赤芍、柴胡、甘草、桔梗、牛膝、川芎等)进行治疗,比较2组患者在治疗后的临床疗效,NIHSS评分、Barthel指数以及中医证候积分等。结果治疗组总有效率为96.25%,明显高于对照组(77.50%),差异有统计学意义(χ2=13.438,P<0.01);治疗组与对照组患者治疗后的临床疗效、NIHSS评分、Barthel指数以及中医证候积分与治疗前相比均显著降低,差异有统计学意义(P<0.01);治疗组的NIHSS评分、Barthel指数以及中医证候积分均明显优于对照组,差异有统计学意义(P<0.01)。结论血府逐瘀汤治疗缺血性脑卒中能明显改善患者的症状,阻止脑缺血进一步发作,提高疗效,缩短疗程。Objective To explore the clinical effect on the the treatment of Ischemic stroke by blood operator by stasis soup . Methods The 160 patients with ischemic stroke were selected and divided into two groups randomly .The control group pa-tients were treated with conventional treatment （yidalaphon in injection and combined with dehydration of intracraninal pres-sure ,reduce brain edema ,antiplatelet ,brain protection ,neurotrophic and maintain water and electrolyte balance and so on ）;treatment ,and the treatment group patients were treated with blood operator by stasis soup based on the control group （angel-ica ,radix rehmanniae ,peach kernel ,safflower ,orange ,red paeony root ,radix bupleuri ,radix glycyrrhizae ,radix platycodi , twotooth achyranthes root ,rhizoma ligustici wallichii ,etc） .The clinical effect ,NIHSS score ,Barthel index and the TCM syn-drome integral of two groups of patients are compared .Results The total efficiency of treatment group after treatment is 96 . 25% ,which is significantly higher than the control group （77 .50% ） ,the difference was statistically significant （χ2 =13 .438 ,P〈0 .001 ）;The clinical effect ,NIHSS score ,Barthel index and the TCM syndrome integral of two groups of pa-tients after treatment are lower compared with treatment before （ P〈0 .001 ）;the NIHSS score ,Barthel index and the TCM syndrome integral of treatment group of patients after treatment are significantly better than the control group ,the difference was statistically （ P〈0 .001 ） .Conclusion Blood operator by stasis decoction in treatment of ischemic stroke improve the symptom of the patients ,to prevent further attacks brain ischemia ,and improve the curative effect ,shorten course of treatment .

关 键 词：血府逐瘀汤 缺血性脑卒中 活血化瘀 通脉理气 依达拉奉 

分 类 号：R743.3[医药卫生—神经病学与精神病学]