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[目的]观察苓桂术甘汤、康复训练联合西药治疗脑卒中早期偏瘫疗效。[方法]使用随机平行对照方法,将62例门诊患者按就诊顺序号法简单随机分为两组。对照组31例常规治疗,营养神经、改善脑血流量、降压、补充能量等;脑复康,0.8g/次,3次/d;阿司匹林,0.8g/次,1次/d;20m L丹红注射液+250m L 5%葡萄糖,1次/d,静滴。康复训练:患肢被动、主动训练、站立、平衡、行走等。治疗组31例苓桂术甘汤(黄芪40g,茯苓、桂枝各30g,熟地黄20g,远志15g,党参、白术、当归、桃仁各10g,木香、甘草炙各5g;咳嗽痰多加半夏、陈皮;心下痞、腹中有水加枳实、生姜);1剂/d,水煎150m L,早晚口服;西药治疗同对照组。连续治疗28d为1疗程。观测临床症状、Fugl-Meyer评分、Barthel评分、不良反应。治疗1疗程,判定疗效。[结果]治疗组显效21例,有效8例,无效2例,总有效率93.55%。对照组显效12例,有效10例,无效9例,总有效率70.97%。治疗组疗效优于对照组(P<0.05)。指标评分两组均有改善(P<0.05),治疗组改善优于对照组(P<0.01)。[结论]苓桂术甘汤、康复训练联合西药治疗脑卒中早期偏瘫疗效满意,无副作用,值得推广。
[Objective] To observe the curative effect of Lingguizhugan decoction, rehabilitation training and western medicine on early hemiplegia in stroke. [Methods] Using randomized parallel control method, 62 outpatients were randomly divided into two groups according to the sequence number of visiting doctor. Control group of 31 cases of conventional treatment, nourishing the nerves, improving cerebral blood flow, blood pressure, energy and other replenishment; Naofukang, 0.8g / time, 3 times / d; aspirin, 0.8g / time, Danhong injection + 250m L 5% glucose, 1 / d, intravenous infusion. Rehabilitation training: limb passive, active training, standing, balance, walking and so on. The treatment group, 31 cases of Ling Gui surgery Gan Tang (Astragalus 40g, Poria, Cassia the 30g, Rehmannia 20g, Polygalaceae 15g, Codonopsis, Atractylodes, Angelica, peach kernel 10g, woody, licorice Sunburn each 5g; cough sputum plus Pinellia, Dried tangerine peel; heart under the ruffian, abdomen water plus Zhishi, ginger); 1 / d, decoction 150m L, morning and evening oral; Western medicine treatment with the control group. Continuous treatment 28d for a course of treatment. Clinical symptoms, Fugl-Meyer score, Barthel score, adverse reactions were observed. Treatment of a course of treatment to determine the efficacy. [Results] In the treatment group, 21 cases were markedly effective, 8 cases were effective and 2 cases were ineffective. The total effective rate was 93.55%. In the control group, 12 cases were markedly effective, 10 cases were effective, 9 cases were ineffective, and the total effective rate was 70.97%. The treatment group was better than the control group (P <0.05). The index score improved in both groups (P <0.05), and the treatment group improved better than the control group (P <0.01). [Conclusion] Lingguizhugan Decoction, rehabilitation training combined with Western medicine in the treatment of early stroke hemiplegia with satisfactory results, no side effects, it is worth promoting.