摘要
[目的]观察中医特色疗法联合西药治疗脑梗死恢复期(气虚血瘀)疗效。[方法]使用随机平行对照方法,将60例住院患者按住院号抽签方法随机分为两组。对照组30例吡拉西坦,2片/次,3次/d;氯吡格雷,1片/次,1次/d;阿司匹林,1片/次,1次/d。治疗组30例中医特色疗法,包括:艾灸、中药熏洗,口服中药汤剂、针刺;西药治疗同对照组。连续治疗15d为1疗程。观测临床症状、Fugl-Meyer运动量表、Barthel指数、不良反应。连续治疗2疗程(30d),判定疗效。[结果]治疗组临床痊愈15例,有效显效9例,有效5例,无效1例,总有效率96.67%;对照组临床痊愈7例,显效7例,有效10例,无效6例,总有效率80.00%;治疗组疗效优于对照组(P<0.05)。FMMS评分、BI指数两组均有升高(P<0.01,P<0.05),治疗组升高多于对照组(P<0.01,P<0.05)。[结论]中医特色疗法联合西药治疗脑梗死恢复期(气虚血瘀),疗效满意,无严重不良反应,值得推广。
[Objective] To observe the curative effect of traditional Chinese medicine characteristic therapy combined with western medicine in the treatment of cerebral infarction convalescence（Qi deficiency and blood stasis）. [Methods] Using random parallel control method, 60 hospitalized patients were randomly divided into two groups according to the hospital number drawing method. Control group 30 cases of piracetam,2 tablets/times, 3 times/d; clopidogrel, 1 tablets/times, 1 times/d; aspirin, 1 tablets/times, 1 times/d. The treatment group of 30 cases of traditional Chinese medicine characteristics therapy, including： moxibustion,herbal fumigation, oral Chinese medicine decoction, acupuncture; western medicine treatment with the control group. Continuous treatment with 15 d for 1 courses of treatment. Observation of clinical symptoms, FuglMeyer exercise scale, Barthel index, adverse reactions. Continuous treatment for 2 courses（30 d）, to determine efficacy. 15 cases were cured after treatment in the treatment group. [result] 9 cases markedly effective, 5 cases effective, 1 cases ineffective, the total efficiency of 96.67%; control group 7 cases were cured clinically,7 cases were markedly effective, 10 cases effective, 6 cases ineffective, the total efficiency of 80%; the treatment group than the control group（P〈0.05）. The FMMS score and BI index were increased in the two groups（P〈0.01, P〈0.05）, and the treatment group increased more than the control group（P〈0.01, P〈0.05）. [Conclusion] Traditional Chinese medicine characteristics therapy combined with western medicine in the treatment of cerebral infarction convalescence（Qi deficiency and blood stasis）, the curative effect is satisfactory, no serious adverse reactions, it is worth promoting.
出处
《实用中医内科杂志》
2017年第12期17-20,共4页
Journal of Practical Traditional Chinese Internal Medicine
基金
开封市科技发展项目(No.163095)~~
关键词
脑梗死恢复期
气虚血瘀
艾灸
中药熏洗
中药汤剂
针刺
吡拉西坦
氯吡格雷
阿司匹林
Fugl-Meyer运动量表
Barthel指数
中西医结合治疗
随机平行对照研究
high infarction recovery stage
Qi deficiency and blood stasis
moxibustion
herbal Fumigation and washing
Chinese medicine decoction
acupuncture
clopidogrel lacita
clopidogrel
aspirin
Fugl-Meyer exercise scale
Barthel index
integrated traditional Chinese and western medicine treatment
random parallel control study
