消栓通脉丸治疗气虚血瘀型缺血性中风的效果分析  

Analysis on Effect of Xiaoshuan Tongmai Pill in Treating Ischemic Stroke of Qi Deficiency and Blood Stasis Type

作　　者：彭伟 肖德益 刘杰 刘宇强 廖胜光 Peng Wei;Xiao De-yi;Liu Jie;Liu Yu-qiang;Liao Sheng-guang(Second Department of Internal Medicine,Ningxiang Traditional Chinese Medicine Hospital,Ningxiang 410600,Hunan Province,China)

机构地区：[1]湖南省宁乡市中医医院内二科,湖南宁乡410600

出　　处：《中国社区医师》2023年第4期91-93,共3页Chinese Community Doctors

基　　金：湖南省中医药管理局项目(编号:2020060)。

摘　　要：目的:探讨消栓通脉丸治疗气虚血瘀型缺血性中风的效果。方法:选取2020年4月-2021年7月宁乡市中医医院收治的80例气虚血瘀型缺血性中风患者作为研究对象,根据随机数字表法分为对照组和治疗组,各40例。对照组给予常规西医治疗,治疗组在对照组基础上联合消栓通脉丸治疗,比较两组治疗效果、神经功能缺损评分、日常生活活动能力及不良反应发生情况。结果:治疗组治疗总有效率高于对照组,差异有统计学意义(P<0.05)。治疗前,两组美国国立卫生研究院卒中量表(NIHSS)、日常生活自理能力量表(ALD)评分比较,差异无统计学意义(P>0.05);治疗后,两组NIHSS评分均低于治疗前,且治疗组低于对照组,差异有统计学意义(P<0.05);治疗后,两组ADL评分均高于治疗前,且治疗组高于对照组,差异有统计学意义(P<0.05)。两组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:消栓通脉丸治疗气虚血瘀型缺血性中风效果显著,可改善患者神经功能,提高其生活质量。Objective:To explore the effect of Xiaoshuan Tongmai Pill in the treatment of ischemic stroke of qi deficiency and blood stasis type.Methods:A total of 80 patients with ischemic stroke of qi deficiency and blood stasis type who were admitted to Ningxiang Traditional Chinese Medicine Hospital from April 2020 to July 2021 were selected as the study subjects.They were divided into control group and treatment group according to random number table method,with 40 cases in each group.The control group was treated with conventional western medicine,and the treatment group was treated with Xiaoshuan Tongmai Pill on the basis of the control group.The treatment effect,neurological impairment score,activities of daily living and the occurrence of adverse reactions were compared between the two groups.Results:The total response rate in the treatment group was higher than that in the control group,and the difference was statistically significant(P<0.05).Before treatment,there was no significant difference between the two groups in the scores of National Institutes of Health Stroke Scale(NIHSS)and the Activity of Daily Living Scale(ALD)(P>0.05).After treatment,the NIHSS scores in the two groups were lower than those before treatment,and the treatment group was lower than the control group,and the difference was statistically significant(P<0.05).After treatment,the ADL scores in the two groups were higher than those before treatment,and the treatment group was higher than the control group,and the difference was statistically significant(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion:Xiaoshuan Tongmai Pill has a significant effect in the treatment of ischemic stroke with qi deficiency and blood stasis type,it can improve the neurological function and improve the quality of life of patients.

关 键 词：消栓通脉丸 气虚血瘀 缺血性中风 中西医结合 

分 类 号：R277.7[医药卫生—中医学]