血府逐瘀汤+针灸疗法联合西药综合治疗急性缺血性脑卒中的临床效果
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摘要
目的探讨血府逐瘀汤+针灸疗法联合西药综合治疗急性缺血性脑卒中(CIS)的临床效果。方法将82例CIS患者随机分为观察组(血府逐瘀汤+针灸疗法联合西药综合治疗)与对照组(西药治疗),各41例。比较两组的临床效果。结果治疗后,两组患者全血粘度(高、低切)、血浆粘度、纤维蛋白原指标水平均降低,且观察组低于对照组(P<0.05)。治疗后,两组患者BI评分及中医证候积分均改善,且观察组优于对照组(P<0.05)。观察组的治疗总有效率显著高于对照组(P<0.05)。结论 CIS患者在常规治疗的基础上联用血府逐瘀汤及针灸疗法效果显著。
Objective To explore the clinical effect of Xuefu Zhuyu decoction+cupuncture therapy combined with western medicine on acute ischemic stroke(CIS). Methods Eighty-two patients with CIS were randomly divided into observation group(Xuefu Zhuyu decoction +acupuncture therapy combined with western medicine) and control group(western medicine treatment), with 41 cases in each group. The clinical effects of the two groups were compared. Results After treatment, the levels of blood viscosity(high shear rate and low shear rate), plasma viscosity and fibrinogen of the two groups decreased, and those in the observation group were lower than the control group(P<0.05). After treatment, the scores of BI and TCM symptom of the two groups improved, and those in the observation group were better than the control group(P<0.05). The total effective rate of treatment in the observation group was significantly higher than that of the control group(P<0.05). Conclusion Combining Xuefu Zhuyu decoction with acupuncture therapy on the basis of routine treatment has a remarkable effect in the treatment of CIS.
Objective To explore the clinical effect of Xuefu Zhuyu decoction+cupuncture therapy combined with western medicine on acute ischemic stroke(CIS). Methods Eighty-two patients with CIS were randomly divided into observation group(Xuefu Zhuyu decoction +acupuncture therapy combined with western medicine) and control group(western medicine treatment), with 41 cases in each group. The clinical effects of the two groups were compared. Results After treatment, the levels of blood viscosity(high shear rate and low shear rate), plasma viscosity and fibrinogen of the two groups decreased, and those in the observation group were lower than the control group(P<0.05). After treatment, the scores of BI and TCM symptom of the two groups improved, and those in the observation group were better than the control group(P<0.05). The total effective rate of treatment in the observation group was significantly higher than that of the control group(P<0.05). Conclusion Combining Xuefu Zhuyu decoction with acupuncture therapy on the basis of routine treatment has a remarkable effect in the treatment of CIS.
引文
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[5]李耀文,韩为.针灸对急性缺血性卒中缺血半暗带影响研究概述[J].中医药临床杂志,2017,29(8):1348-1350.
[2]吴勃力,于慧敏,杨沈秋.于致顺教授头穴治瘫经验[J].中国针灸,1997,3:153-154.
[3]国家中医药管理局脑病急症协作组.中风病诊断与疗效评定标准(试行)[J].北京中医药大学学报,1996,19(1):55-56.
[4]郑丽玲,臧向博.活血化瘀方在急性缺血性脑卒中治疗中的疗效及预后分析[J].陕西中医,2016,37(7):814-815.
[5]李耀文,韩为.针灸对急性缺血性卒中缺血半暗带影响研究概述[J].中医药临床杂志,2017,29(8):1348-1350.