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[目的]观察补阳还五汤配合西医治疗缺血性脑卒中的临床疗效。[方法]将76例患者分为治疗组与对照组,每组各38例,两组均给予常规对症支持治疗,治疗组在此基础上加用补阳还五汤(药用黄芪、桂枝、桃仁、红花、半夏、川芎、地龙、当归、赤芍、丹参、鸡血藤),随证加减,水煎服,1剂/d,早晚服用。观测两组疗效及NIHSS神经功能缺损评分、日常生活能力(ADL)评分。治疗15d判定疗效。[结果]治疗组治疗有效率明显高于对照组,治疗组NIHSS及ADL评分均明显优于对照组。[结论]补阳还五汤配合西医治疗缺血性脑卒中可显著改善神经功能缺损情况。
[Objective] To observe the clinical efficacy of Buyang Huanwu Decoction combined with Western medicine in treating ischemic stroke. [Methods] 76 patients were divided into treatment group and control group, 38 cases in each group, both groups were given conventional symptomatic and supportive treatment. On the basis of this, the treatment group was treated with Buyang Huanwu Decoction (Astragalus membranaceus, Guizhi , Peach kernel, safflower, Pinellia, Chuanxiong, earthworm, Angelica, red peony, Salvia Miltiorrhiza), with the card addition and subtraction, Shuijianbi, 1 / d, taken sooner or later. The curative effect of the two groups and NIHSS neurological deficit score, daily living ability (ADL) score were observed. 15d treatment to determine the efficacy. [Results] The effective rate of treatment in treatment group was significantly higher than that in control group. NIHSS and ADL scores in treatment group were significantly better than those in control group. [Conclusion] Buyang Huanwu Decoction combined with Western medicine in treating ischemic stroke can significantly improve the neurological deficit.