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目的:观察补气健脑通络汤及舒血宁配合康复训练治疗气虚血瘀型脑卒中临床价值.方法:选取我院2015年3月～2016年8月收治的90例气虚血瘀型脑卒中患者作为研究对象,采取随机数字表法将患者分为研究组(45例)与对照组(45例),对照组患者予以西医常规治疗,研究组患者在常规治疗基础上联合补气健脑通络汤及舒血宁注配合康复训练,对比两组患者临床疗效、治疗前后中医证候评分及神经功能缺损评分,治疗前后患者血液流变学指标,以Barthl指数评估患者日常生活能力(ADL),博格平衡量表(BBS)评估患者平衡能力,并评估患者步行能力,采取改良Ashworth分级标准评估患者治疗前后肌张力情况,患者并发症情况.结果:研究组治疗总有效率高达97.78％,显著高于对照组86.67％,P＜0.05;两组治疗前中医证候评分及神经功能缺损评分均相当,且患者血液流变学指标相当,P＞0.05;治疗后研究组患者中医证候积分及神经功能缺损评分均优于对照组,血液流变学指标优于对照组,P＜0.05;治疗前两组患者Barthl指数、BBS、步行能力、肌张力评分均相当,P＞0.05;治疗后研究组患者Bar-thl指数、BBS、步行能力、肌张力评分均优于对照组,P＜0.05;研究组并发症率为2.22％,低于对照组15.56％,P＜0.05.差异具有统计学意义.结论:补气健脑通络汤及舒血宁注配合康复训练治疗气虚血瘀型脑卒中临床疗效显著,患者神功功能缺损显著改善,预后佳,并发症少安全性高,具有极高临床应用及推广价值.“,”Objective:To explore the clinical value of Buqi Jiannao Tongluo Decoction and Shuxuening combined with rehabilitation training in the treatment of Qi-deficiency and blood-stasis type stroke.Methods:Selected from March 2015to August 2016,90cases of Qi-deficiency and blood-stasis type of cerebral apoplexy patients as the research object,took a random number table method.The patients were divided into research group (45cases) and controlled group (45cases).The controlled groupwas treated with conventional western medicine,patients in the treatment group was treated with Buqi Jiannao Tongluo Decoction and Shuxuening combined with rehabilitation training in the treatment of Qi-deficiency and blood-stasis type stroke on the basis of conventional treatment,compared the clinical efficacy of the two groups,TCM syndrome score before and after the treatment,and neural function defect scale and blood rheology indexes before and after treatment,to Barthl index evaluation ability of daily life (ADL) of patients with berg balance scale (BBS),balance,patients evaluation and assessment of patients with walking ability,take the modified Ashworth classification standard evaluation before and after treatment in patients with muscle tension,patients with complications.Results:The total effective rate of the treatment group was 97.78％,significantly higher than the controlled group which was 86.67％,P＜0.05.The two groups before treatment score,TCM syndrome score,blood rheology and neurological deficit were similar,P＞0.05.Patients in the study group,TCM syndrome score and neurological deficit score were better than that of the controlled group after treatment,the blood rheology indexes was superior to the controlled group,P＜0.05.Barthl index before treatment,two groups of BBS,walking ability,muscle tension scores,P＞0.05.Mter treatment of patients in the study group of Barthl index,BBS,walking ability,muscle tension score were better than the controlled group,P＜0.05.The complication rate of the study group was 2.22％,lower than the controlled group which was 15.56％,P＜0.05.Difference was statistically significant.Conclusion:The clinical curative effect of Using Buqi Jiannao Tongluo Decoction and Shuxuening combined with rehabilitation training in the treatment of Qi-deficiency and blood-stasis type stroke is distinct,the magic function defect has improved significantly,the prognosis is poor,less complications,high safety,with very high value of clinical application and promotion.