论文部分内容阅读
目的观察自拟补阳还五汤加减联合西医治疗缺血性中风的临床效果。方法选择2016年1-12月在医院接受治疗的缺血性中风患者80例,按照就诊顺序将患者分成观察组及对照组,每组40例,对照组给予常规西医治疗方法,观察组加用自拟补阳还五汤治疗,观察2组患者的治疗效果及美国国立卫生研究院卒中量表(NIHSS)评分。结果观察组治疗总有效率为95.00%(38/40)显著高于对照组的80.00%(32/40),差异有统计学意义(χ2=4.1143,P<0.05)。治疗前NIHSS卒中量表评分差异无统计学意义(P>0.05)。治疗后2组患者NIHSS卒中量表评分均低于治疗前,观察组治疗后NIHSS卒中量表评分显著低于对照组,差异有统计学意义(P<0.05)。结论在中医辨证理论支持下将中风分型,根据实际病情,选择合适的基础方剂加减中药,结合个人经验确定剂量,可获得良好的治疗效果。
Objective To observe the clinical effect of self-made Buyang Huanwu Decoction combined with western medicine in the treatment of ischemic stroke. Methods Eighty patients with ischemic stroke admitted to the hospital from January to December in 2016 were enrolled. According to the order of treatment, the patients were divided into observation group and control group, 40 cases in each group. The control group was given conventional western medicine treatment. The observation group Self-made Buyang Huanwu Decoction treatment was observed in two groups of patients with treatment and the National Institutes of Health Stroke Scale (NIHSS) score. Results The total effective rate of the observation group was 95.00% (38/40), which was significantly higher than that of the control group (80.00%, 32/40). The difference was statistically significant (χ2 = 4.1143, P <0.05). There was no significant difference in NIHSS Stroke Scale scores before treatment (P> 0.05). The scores of NIHSS Stroke Scale in both groups after treatment were lower than those before treatment. The NIHSS Stroke Scale score of the observation group was significantly lower than that of the control group after treatment (P <0.05). Conclusion With the support of syndrome differentiation theory of stroke, the classification of stroke, according to the actual condition, select the appropriate basic prescriptions plus traditional Chinese medicine, combined with personal experience to determine the dose, can obtain good therapeutic effect.