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[目的]观察针刺与温胆汤联合西药治疗脑梗死恢复期疗效。[方法]使用随机平行对照方法,将86例门诊患者按就诊顺序号方法随机分为两组;抗凝扩血管,恢复期康复训练。对照组43例针刺(合谷、曲池、外关、手三里、风市、环跳、太冲、足三里、解溪、阳陵泉、昆仑),平补平泻,得气后,留针30min,1次/d。治疗组43例温胆汤(茯苓20g,半夏、枳实、竹茹各15g,远志12g,川芎、石菖蒲、当归、丹参、陈皮各10g,甘草6g),1剂/d,水煎400m L,早晚分服;针刺治疗同对照组。连续治疗4周为1疗程。观测临床症状、NIHSS评分、不良反应。治疗1疗程,判定疗效。[结果]临床疗效治疗组优于对照组(P<0.01)。NIHSS评分两组均有明显降低(P<0.01),治疗组降低优于对照组(P<0.01)。[结论]针刺与温胆汤联合西药治疗脑梗死,疗效满意,无严重不良反应,值得推广。
[Objective] To observe the curative effect of acupuncture and Wenshen Decoction combined with western medicine in the recovery period of cerebral infarction. [Methods] Using randomized parallel control method, 86 outpatients were randomly divided into two groups according to the order of visiting doctor; anticoagulant vasodilator and convalescent rehabilitation training. The control group of 43 cases of acupuncture (Hegu, Quchi, foreign relations, hand Sanli, wind market, Central jump, Taichong, Zusanli, Xiexi, Yanglingquan, Kunlun) 30min, 1 time / d. In the treatment group, 43 cases of Wendan Decoction (Poria 20g, Pinellia ternata, Fructus Aurantii, Rhizoma Imperatae 15g, Polygalaceae 12g, Chuanxiong, Shichangpu, Angelica, Salvia miltiorrhiza, dried tangerine peel 10g, licorice 6g) L, morning and evening sub-service; acupuncture treatment with the control group. Continuous treatment for 4 weeks for a course of treatment. Observed clinical symptoms, NIHSS score, adverse reactions. Treatment of a course of treatment to determine the efficacy. [Results] The clinical curative effect was better than the control group (P <0.01). The NIHSS score was significantly lower in both groups (P <0.01), and the treatment group was better than the control group (P <0.01). [Conclusion] Acupuncture and Wenshen Decoction combined with Western medicine in treating cerebral infarction have satisfactory curative effect and no serious adverse reactions, which deserves promotion.