摘要
目的:探讨通窍化栓汤联合小脑顶核电刺激治疗风痰瘀阻型急性缺血性脑卒中(AIS)的临床疗效。方法:选取我院符合标准的94例AIS风痰瘀阻型患者,按照随机数字表法分为观察组与对照组,每组各47例。常规治疗基础上,对照组给予小脑顶核电刺激,观察组给予小脑顶核电刺激+通窍化栓汤治疗。对比2组治疗前后神经功能(NIHSS评分)、临床疗效及日常生活能力(ADL评分)。结果:治疗前2组NIHSS评分比较无显著差异(P>0.05),观察组治疗后NIHSS评分低于对照组(P<0.05);观察组总有效率93.62%(44/47)高于对照组78.72%(37/47)(P<0.05);治疗前2组ADL评分比较无显著差异(P>0.05),观察组治疗3个月ADL评分高于对照组(P<0.05)。结论:通窍化栓汤联合小脑顶核电刺激治疗风痰瘀阻型AIS疗效显著,有利于促进患者神经功能恢复、提高日常生活能力。
Objective： To investigate the clinical effect of Tongqiao Huashuan decoction combined with fastigial nucleus stimulation on the nerve function defect and the activity of daily living in acute ischemic stroke（AIS） patients with windphlegm and blood stasis. Methods： A total of 94 cases of AIS with wind-phlegm and blood stasis were divided into the observation group and the control group according to the random number table, 47 cases in each. On the basis of the conventional therapy, the control group was given the fastigial nucleus stimulation, and the observation group was given fastigial nucleus stimulation＋Tongqiao Huashuan decoction. The nerve function（NIHSS score）, clinical efficacy and daily life ability（ADL score）were compared before and after treatment in the two groups. Results： There were insignificant differences in NIHSS scores between the two groups before treatment（P〉0.05）. After treatment, the NIHSS score of the observation group was lower than that of the control group（P〈0.05）. The total effective rate of the observation group[93.62%（44/47）]was higher than that of the control group[78.72%（37/47）]（P〈0.05）. There were insignificant differences in ADL scores between the two groups before treatment（P〉0.05）. After 3 month of treatment, the ADL score of the observation group was higher than that of the control group（P〈0.05）. Conclusion： The effect of Tongqiao Huashuan decoction combined with fastigial nucleus stimulation in acute ischemic stroke patients with wind-phlegm and blood stasis is significant. It is beneficial to promote the recovery of nerve function and improve the daily life ability of the patients.
作者
张迪
ZHANG Di(Luoyang Central Hospital,Henan Luoyang 471000,China)
出处
《中医药临床杂志》
2018年第6期1086-1088,共3页
Clinical Journal of Traditional Chinese Medicine
关键词
急性缺血性脑卒中
风痰瘀阻型
通窍化栓汤
小脑顶核电刺激
神经功能
Acute ischernic stroke
Wind-phlegm and blood stasis
Tongqiao Huashuan decoction
Fastigial nucleusstimulation
Nerve function
