加味八珍汤联合西药对老年脑梗死偏瘫患者脑电图及行为能力的影响  

Effect of Modified Bazhen Tang Combined with Western medicine on Electroencephalogram and Active Ability of Elderly Hemiplegic Patients with Cerebral Infarction

作　　者：方卫兰[1] 张东伟[1] 

机构地区：[1]湖州市第一人民医院,浙江湖州313000

出　　处：《新中医》2016年第7期25-27,共3页New Chinese Medicine

摘　　要：目的:观察加味八珍汤联合西药对老年脑梗死偏瘫患者脑电图及行为能力的影响。方法:将68例气血两虚型老年脑梗死偏瘫患者按随机数字表法分为对照组与观察组各34例。对照组采用常规西药治疗,观察组在此基础上加用加味八珍汤治疗,比较2组的临床疗效与治疗前后脑电图、行为能力的变化情况。结果:总有效率观察组91.18%,对照组70.59%,2组比较,差异有统计学意义(P<0.05)。治疗后,脑电图总异常率观察组为64.71%,低于对照组的85.29%,2组比较,差异有统计学意义(P<0.05)。治疗前,2组简化Fugl-Meyer运动功能评分及MBI比较,差异均无统计学意义(P>0.05),治疗后,2组的2项评分均较治疗前上升(P<0.05),观察组的2项评分均高于对照组,差异均有统计学意义(P<0.05)。结论:加味八珍汤联合西药治疗老年脑梗死偏瘫患者,能有效改善脑电图异常情况,促进患者上、下肢运动功能的恢复和日常生活活动能力的提升,较单纯西药治疗疗效更为突出。Objective： To observe the effect of Modified Bazhen tang combined with western medicine on electroencephalogram and active ability of elderly hemiplegic patients with cerebral infarction. Methods：Sixty- eight cases of elderly hemiplegic qi- blood deficiency patients with cerebral infarction were divided into the control group and the observation group randomly,34 cases in each group. Conventional western medical therapy was given to both groups,and the observation group received additional treatment of modified Bazhen tang. Compared the clinical effect and the changes of electroencephalogram and active ability in two groups before and after treatment. Results： The total effective rate of the observation group was 91.18%,and the total effective rate of the control group was 70.59%,the difference being significant（P〈0.05）. The abnormal rate of electroencephalogram in the observation group was 64.71%,and was lower than that of 85.29%in the control group（P〈0.05）. Before treatment,comparing motor function scores of upper and lower limbs and modified bather index（MBI）scores between the two groups, difference was not significant（P〈0.05）. After treatment,motor function scores of upper and lower limbs and MBI scores were all increased in both groups（P〈0.05 compared with before treatment）,and the increase range of each score in the observation group were all higher than those in the control group（P〈0.05）. Conclusions：The treatment on elderly hemiplegic patients with cerebral infarction of Modified Bazhen tang combined with western medicine can effectively improve electroencephalogram abnormal condition, and promote the recovery of upper and lower limbs motor function, improve life ability. The clinical effect of this treatment are more outstanding than the treatment of single western medicine.

关 键 词：脑梗死 偏瘫 气血两虚型 中西医结合疗法 加味八珍汤 脑电图 

分 类 号：R743.3[医药卫生—神经病学与精神病学]