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目的:探讨自拟活血化瘀中药汤剂佐治脑梗死后遗症的疗效。方法:将86例脑梗死后遗症患者随机分为两组,治疗组43例给予自拟活血化瘀中药汤剂和常规西药治疗;对照组43例仅采用西医疗法。比较两组的脑血管血液流变动力学指标水平。结果:治疗组治疗后的血液黏稠性指标水平均明显低于对照组(P<0.05);治疗组治疗后的血流速度、椎动脉血流量均明显大于对照组(P<0.05);治疗组治疗后的脑血管弹性、通畅性及其自身调节功能均明显优于对照组(P<0.05)。结论:自拟活血化瘀中药汤剂佐治脑梗死后遗症能够改善脑血管功能、降低血液黏稠性,提高治疗效果。
Objective: To investigate the curative effect of self-made traditional Chinese medicine decoction for treating cerebral infarction sequelae. Methods: Seventy-six patients with sequelae of cerebral infarction were randomly divided into two groups. 43 cases in the treatment group were given self-made decoction for promoting blood circulation to remove blood stasis and routine western medicine, while 43 cases in the control group were only treated with western medicine. The cerebral vascular hemorrheological parameters were compared between the two groups. Results: The levels of blood viscosity in the treatment group were significantly lower than those in the control group (P <0.05). The blood flow velocity and the blood flow of the vertebral artery in the treatment group were significantly greater than those in the control group (P <0.05) The treatment of cerebral vascular elasticity, patency and its own regulatory function were significantly better than the control group (P <0.05). CONCLUSION: The sequelae of traditional Chinese medicine decoction of promoting blood circulation and removing blood stasis can improve cerebral vascular function, reduce blood viscosity and improve the therapeutic effect.