世界中医药
文章摘要
引用本文:蔡翠珠1,王磊2,指导:刘德喜.养阴通络汤联合穴位注射治疗阴虚风动型脑梗死的临床观察[J].世界中医药,2016,(03):.  
养阴通络汤联合穴位注射治疗阴虚风动型脑梗死的临床观察
Clinical Observation of Yangyin Tongluo Decoction Combined with Acupoint Injection in Treatment of Yin Deficiency Syndrome in Cerebral Infarction Cases
投稿时间:2015-07-23  
DOI:10.3969/j.issn.1673-7202.2016.03.015
中文关键词:  养阴通络汤  穴位注射  脑梗死  临床观察
English Keywords:Yangyin Tongluo Decoction  Acupoint injection  Cerebral infarction  Clinical observation
基金项目:2012年海南省卫生厅课题(编号:琼卫2012LX-29)
作者单位
蔡翠珠1,王磊2,指导:刘德喜 1 海南省三亚市中医院内五科三亚572000 2 解放军第92474部队医院三亚572003 
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中文摘要:
      目的:观察养阴通络汤联合穴位注射治疗阴虚风动型脑梗死的临床疗效。方法:将60例阴虚风动型脑梗死患者随机分为治疗组和对照组各30例。对照组采用穴位注射及常规西药治疗,治疗组在穴位注射及常规西药治疗基础上加用养阴通络汤(龟甲、鳖甲、枸杞子、桑寄生、菊花、生地黄、牡丹皮、丹参、郁金、当归尾、川芎、红花、桃仁、蜈蚣、地龙、全蝎、白芍、桑叶、牛膝)治疗,共治疗4周。观察2组临床疗效及治疗前后神经功能缺损程度评分(National Institute of Health Stroke Scale,NIHSS)、日常生活活动能力(Activities of Daily Living,ADL)指数评分及血脂、血清半胱氨酸的变化。结果:1)经4周治疗,2组均可降低NIHSS评分,提高ADL指数评分(P<0.01),且治疗组的改善程度均优于对照组(P<0.01);2)治疗后,治疗组的各项指标均改善(P<0.01),而对照组各项指标治疗前后均无明显改变(P>0.05)。结论:阴通络汤联合穴位注射治疗阴虚风动型脑梗死疗效确切,其疗效优于对照组。
English Summary:
      Objective: To observe the clinical efficacy of Yangyin Tongluo Decoction combined with acupoint injection in the treatment of cerebral infarction cases. Methods:Cerebral infarction patients with yin deficiency syndrome of 60 cases were randomly divided into treatment group and control group, each group had 30 cases. The control group was treated with acupoint injection and conventional western medicine. As for the treatment group, the treatment included conventional western medicine and acupoint injection combined with Yangyin Tongluo Decoction (formulated by Tortoise Carapace and Plastron, Turtle Carapace, Barbary Wolfberry Fruit, Chinese Taxillus Herb, Chrysanthemum Flower, Unprocessed Rehmannia Root, Tree Peony Root Bark, Salvia Root, Turmeric Root Tuber, Chinese Angelica, Sichuan Lovage Rhizome, Safflower, Peach Seed, Centipede, Earthworm, Scorpion, Debark Peony Root, Mulberry Leaf, Medicinal Cyathula Root). The treatment last for four weeks and then the clinical effect of the two groups and the degree of neurological deficit score(NIHSS), daily life activities ability(ADL) index score and blood lipid as well as the change of serum homocysteine were observed. Results:1)After four weeks’ treatment, NIHSS score of the two group dropped along with that the ADL index score improved(P<0.01). And the treatment group performed better than control group (P<0.01). 2)After treatment. The indicators of the treatment group were improved(P<0.01), while there were no significant changes in the index of the control group(P>0.05). Conclusions: Yangyin Tongluo Decoction combined with acupoint injection is effective in the treatment of yin deficiency in cerebral infarction. The curative effect of the treatment group is better than that of control group.
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