| 引用本文:王琳，聂容荣，秦凤玲，张丹华，莫华兰，齐立.中西医结合治疗气虚血瘀型脑梗死恢复期患者的临床观察[J].世界中医药,2019,(06):. |
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| 中西医结合治疗气虚血瘀型脑梗死恢复期患者的临床观察 |
| Clinical Observation on Combined Treatment of Traditional Chinese and Western Medicine in Convalescent Stage of Cerebral Infarction of Qi Deficiency and Blood Stasis Syndrome |
| 投稿时间：2019-03-12 |
| DOI：10.3969/j.issn.1673-7202.2019.06.028 |
| 中文关键词: 中西医结合 气虚血瘀型 脑梗死 恢复期 证候积分 神经功能 |
| English Keywords:Combined treatment of traditional Chinese and western medicine Qi deficiency and blood stasis syndrome Cerebral infarction Convalescence stage Syndrome scores Neural fucntion |
| 基金项目:桂林市科学研究与技术开发计划课题（20170109-32） |
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| 中文摘要: |
| 目的：探讨中西医结合治疗对气虚血瘀性脑梗死恢复期患者的应用效果。方法：选取2017年7月至2019年1月中国人民解放军联勤保障部队第九二四医院神经康复科收治的气虚血瘀型脑梗死恢复期患者128例作为研究对象，按照随机数字表法随机分为对照组和观察组，每组64例。对照组采用常规西医对症治疗，观察组在对照组的基础上应用中药益气活血化痰通络汤治疗。比较2组患者的临床疗效、治疗前后中医证候积分、神经功能缺损评分（NIHSS评分）、日常生活能力（Barthel指数）、脑血流动力学指标及血清学指标。结果：观察组治疗总有效率为906%（58/64），高于对照组的766%（49/64）,2组比较差异有统计学意义（P<005）；2组患者治疗前中医证候积分、NIHSS评分、Barthel指数、脑血流动力学指标及血清学各项指标比较，差异无统计学意义（P>005）；治疗后，观察组中医证候积分及NIHSS评分均低于对照组，观察组Barthel指数明显高于对照组（P<005）；观察组治疗后脑血流动力学指标双侧脑动脉血流速度平均值（Vm）及收缩期值（Vs）均高于对照组，搏动指数（PI）低于对照组（P<005）；且观察组血清学各项指标均低于对照组（P<005）。结论：中西医结合治疗可有效提高气虚血瘀型脑梗死恢复期患者的治疗效果，有利于改善患者神经功能，值得临床应用。 |
| English Summary: |
| To explore the effects of combined treatment of traditional Chinese and western medicine on convalescent patients with cerebral infarction of qi deficiency and blood stasis.Methods:A total of 128 convalescent patients with cerebral infarction due to qi deficiency and blood stasis were selected from July 2017 to January 2019 in the Department of Neurological Rehabilitation of 924 Hospital of the Joint Logistics Support Force of the Chinese People's Liberation Army.They were divided into an observation group and a control group with 64 cases in each group according to random number table method.Patients in the control group were treated with conventional western medicine，while patients in the observation group were treated with Yiqi Huoxue Huatan Tongluo Decoction on the basis of the control group.The curative effect，TCM syndrome score，NIHSS score，Barthel index，cerebral hemodynamics index and serological index of the 2 groups were compared before and after treatment.Results:The total effective rate of the observation group was 906%(58/64)，higher than that of the control group(766%(49/64)P<005); there was no significant difference in TCM syndrome score，NIHSS score，Barthel index，cerebral hemodynamics index and serological indexes between the 2 groups before treatment(P>005); after treatment，TCM syndrome score and NIHSS score of the observation group were lower than those of the control group.The Barthel index in the observation group was significantly higher than that in the control group(P<005); the average cerebral hemodynamic parameters(Vm)and systolic value(Vs)of bilateral cerebral arteries in the observation group were higher than those in the control group after treatment，and the pulsation index(PI)was lower than that in the control group(P<005); and the serological indexes in the observation group were lower than the control group(P<005).Conclusion:Integrated traditional Chinese and western medicine can effectively improve the therapeutic effect of convalescent patients with cerebral infarction due to qi deficiency and blood stasis，improve neurological function of patients，which is worthy of clinical application. |
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