论文部分内容阅读
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 effects of Jiawei Bazhen decoction combined with western medicine on electroencephalogram and behavior in hemiplegia patients with senile cerebral infarction. Methods: Sixty-eight patients with hemiplegia of the elder cerebral infarction with qi and blood deficiency were divided into control group and observation group according to random number table. The control group was treated with conventional western medicine. The observation group was treated with Jiawei Bazhen Decoction on the basis of the above results. The changes of EEG and behavioral changes were compared between the two groups before and after treatment. Results: The total effective rate was 91.18% in the observation group and 70.59% in the control group. There was significant difference between the two groups (P <0.05). After treatment, the total abnormal rate of EEG in the observation group was 64.71%, which was lower than 85.29% in the control group. There was significant difference between the two groups (P <0.05). Before treatment, the scores of simplified Fugl-Meyer motor function and MBI in two groups were not significantly different (P> 0.05). After treatment, the two scores of two groups increased compared with those before treatment (P <0.05) 2 scores were higher than the control group, the difference was statistically significant (P <0.05). Conclusion: Modified Bazhen Decoction combined with Western medicine in the treatment of hemiplegia in elderly patients with cerebral infarction can effectively improve the abnormal situation of the electroencephalogram and promote the recovery of motor function of upper and lower extremities, as well as the improvement of activities of daily living, which are more prominent than the western medicine alone.