摘要
目的:对黄芪桂枝五物汤加减配合常规西药在脑梗死治疗中的效果进行分析。方法:抽选我院2017年2月-2018年2月收治的96例脑梗死患者为研究对象,并以抛硬币法将其分为两组:西药组(48例,以常规西药治疗)、联合组(48例,以常规西药+黄芪桂枝五物汤加减治疗)。比较两组的美国国立卫生研究院卒中量表(National Institute of Health Stroke Scale,NIHSS)评分、血清肿瘤坏死因子α(Tumor Necrosis Factor-α,TNF-α)浓度、脑血流动力学状况[血流灌注指数(PI)、血管阻力指数(RI)、平均血流速度(Vm)]及中医证候积分。结果:用药治疗后,联合组的NIHSS评分、血清TNF-α浓度、PI、RI均较西药组低;其各项中医证候积分亦低于西药组;同时,联合组Vm高于西药组(P<0.05)。结论:黄芪桂枝五物汤加减配合常规西药在脑梗死治疗中效果确切,可改善神经功能受损情况及临床症状,并提高治疗效果。
Objective:To analyze the effect of the Huangqi Guizhi Wuwu decoction(黄芪桂枝五物汤)plus conventional Western medicine on cerebral infarction.Methods:96 patients were divided into two groups by coin toss.The Western medicine group(48 cases)was given conventional Western medicine,and the combined group(48 cases)was treated with the Huangqi Guizhi Wuwu decoction more.The NIHSS score,TNF-α,cerebral hemodynamic status(PI,RI,Vm)and TCM syndrome points between groups were compared.Results:After medication,the NIHSS score,serum TNF-α,PI,RI and TCM syndrome scores in the combined group were lower,and the Vm in the combined group was higher than the Western medicine group(P<0.05).Conclusion:The Huangqi Guizhi Wuwu decoction plus conventional Western medicine shows a definite effect on cerebral infarction,can improve neurological impairment and clinical symptoms.
出处
《中医临床研究》
2020年第23期77-79,共3页
Clinical Journal Of Chinese Medicine
关键词
脑梗死
常规西药治疗
黄芪桂枝五物汤
临床效果
Cerebral infarction
Conventional Western medicine treatment
The Huangqi Guizhi Wuwu decoction
Clinical effects
