摘要
目的:观察化痰通腑法治疗中风病急性期痰热腑实证的临床疗效。方法:将105例中风病急性期痰热腑实证患者按随机数字表法分为治疗组、对照1组和对照2组各35例,分别采用星蒌承气汤加减保留灌肠、星蒌承气汤加减口服和开塞露灌肠进行比较研究,观察疗效并进行NIHSS评分、巴氏指数及中医症状积分等指标。结果:入院治疗2周后,治疗组总有效率97.1%,对照1组总有效率85.7%,对照2组总有效率68.5%,经统计学处理治疗组临床疗效明显优于对照1组和对照2组;NIHSS评分、巴氏指数(Barthel Indel)和中医症状积分治疗组均优于对照1组和对照2组,差异有统计学意义。结论:化痰通腑法治疗中风病急性期痰热腑实证疗效满意。
Objective To observe the clinical effect of therapy of resolving phlegm and relaxing bowels on the acute phase of stroke with syndrome of phlegm heat and bowel excess. Methods 105 patients with the acute phase of stroke with syndrome of phlegm heat and bowel excess were randomly divided into three groups. Treatment group ： Not only apply the basic treatment,hut also give therapy of resolving phlegm and relaxing bowels,to use Xinglou Chengqi Decoction enema; Control group1： basic treatment and Xinglou Chengqi decoction; Control group2：basic treatment, and in accordance with the condition may be given glycerine enema. To observe the curative effect and nerve function deficit score （ NIHSS ） , changes in activities of daily living（ BI index） , stroke TCM syndrome integral sign, and other indicators. Result： After two weeks treatment, The total effective rate is 97.1% in the treatment group,85.7% in the control groupland 68.5% in the control group2, the treatment group was superior to the control group land 2through statistics analysis （P 〈 0. 05） in neurologie impairment score ,the BI index and TCM syndrome score. Conclusion： The therapy of resolving phlegm and relaxing bowels were satisfactory on acute stage of stroke with syndrome of phlegm heat and bowel excess.
出处
《中国中医基础医学杂志》
CAS
CSCD
北大核心
2015年第5期616-618,共3页
JOURNAL OF BASIC CHINESE MEDICINE
关键词
中风病
急性期
痰热腑实证
化痰通腑法
灌肠
星蒌承气汤
Stroke
Acute stage
Syndrome of phlegm heat and bowel excess
Therapy of resolving phlegm and relaxing bowels
Enema
Xinglou Chengqi decoction
