摘要
目的:观察益气祛瘀涤痰汤联合醒脑开窍针刺法治疗中风的临床疗效。方法:将170例中风患者随机分为2组各85例,对照组给予基础性药物治疗,观察组在药物治疗的基础上加用益气祛瘀涤痰汤联合醒脑开窍针刺法治疗。治疗1月为1疗程,治疗2疗程后比较2组血脂[总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇(HDLC)]水平,神经缺损功能评分和住院期间脑血管事件发生率的情况。结果:治疗后,观察组患者TC、TG、LDL-C低于对照组,差异均有非常显著性意义(P<0.01),而HDL-C水平高于对照组,差异亦有非常显著性意义(P<0.01)。治疗后,观察组患者神经功能缺损评分低于对照组,差异有非常显著性意义(P<0.01)。住院期间脑血管事件的发生率低于对照组,差异有非常显著性意义(P<0.01)。结论:应用益气祛瘀涤痰汤联合醒脑开窍针法治疗中风可以有效改善其血液指标和神经功能缺损情况,并减少脑血管事件的发生。
Objective. To study the clinical effect and adverse action of the decoction with the actions of nourishing qi to expelling phlegm and removing stasis combined with acupuncture therapy of inducing resuscitation for stroke. Methods: One hundred and seventy patients were randomly divided into observation group and control group. Both groups were treated with routine medicinal treatment. Additionally, patients in the observation group received the decoction with the actions of nourishing qi to expelling phlegm and removing stasis combined with acupuncture therapy of inducing resuscitation. The treatment covered 2 courses lasting 2 months. The indexes, such as serum total cholesterol(TC), triglyceride(TG) and high density lipoprotein cholesterol(HDL-C), low density lipoprotein cholesterol(LDL-C), and the scores of National Institute of Health stroke scale(NIHSS) , the incidence rate of cardiovascular events were observed and compared between the two groups. Results. After treatment, the levels of TC, TG, LDL-C in the observation group were significantly lower than those in the control group(P 〈 0.01), and the level of HDL-C was significantly higher than that in the control group(P 〈 0.01). The scores of NIHSS and the incidence rate of cardiovascular events in the observation group were significantly lower than those in the control group(P 〈0.01). Conclusion: The decoction with the actions of nourishing qi to expelling phlegm and removing stasis combined with acupuncture therapy of inducing resuscitation is effective on improving blood indexes and neurologic iml3airment, and on decreasina the incidence of cardiovascular events in stroke patiens.
出处
《新中医》
CAS
2014年第11期207-209,共3页
New Chinese Medicine
基金
河北省科技技术成果项目(编号:2012013078)