Journal | [J] 医学论坛 Volume 4, Issue 1. 2022.
苓桂术甘汤加减治疗脑卒中恢复期患者的临床效果观察 Clinical Effect of Lingguizhugan Decoction on Patients with Cerebral Apoplexy at Recovery Stage
作者 : 郝 立夏, Lixia Hao
摘要 / Abstract
目的:观察脑卒中恢复期患者治疗中苓桂术甘汤加减治疗的效果。方法:回顾性选取2020年2月-2022年2月本院脑卒中恢复期患者60例,分为常规治疗基础上苓桂术甘汤加减治疗组(加减治疗组)、常规治疗组两组,各30例,统计分析两组中医症候积分、神经功能指标、神经功能缺损程度、平衡功能、运动功能、日常生活能力、临床疗效。结果:治疗后,两组患者中医症候积分、NSE水平均低于治疗前(P<0.05),BDNF、NGF水平均高于治疗前(P<0.05),加减治疗组患者的中医症候积分、NSE水平均低于常规治疗组(P<0.05),BDNF、NGF水平均高于常规治疗组(P<0.05)。治疗后,两组患者的NIHSS评分均低于治疗前(P<0.05),BBS评分、FMA评分、BI评分均高于治疗前(P<0.05),加减治疗组患者的NIHSS评分低于常规治疗组(P<0.05),BBS评分、FMA评分、BI评分均高于常规治疗组(P<0.05)。加减治疗组患者的总有效率93.33%(28/30)高于常规治疗组70.00%(21/30)(χ2=5.455,P<0.05)。结论:脑卒中恢复期患者治疗中苓桂术甘汤加减治疗的效果好。 Objective: To observe the effect of modified Lingguizhugan Decoction on stroke patients in recovery period.Methods:60 patients with cerebral apoplexy in our hospital from February 2020 to February 2022 were retrospectively analyzed. They were divided into two groups: the treatment group treated with modified or modified Lingguizhugan Decoction and the control group treated with modified or modified Lingguizhugan Decoction.Results: After treatment, the TCM symptom scores and NSE water of the two groups were lower than those before treatment (P <0.05), the BDNF and NGF water of the two groups were higher than those before treatment (P <0.05), the TCM symptom scores and NSE water of the two groups were lower than those of the conventional treatment group (P <0.05), the BDNF and NGF water of the two groups were higher than those of the conventional treatment group (P <0.05).After treatment, the NIHSS scores of the two groups were lower than those before treatment (P <0.05), and the BBS scores, FMA scores and BI scores were higher than those before treatment (P <0.05). The NIHSS scores of the modified treatment group were lower than those of the conventional treatment group (P <0.05), and the BBS scores, FMA scores and BI scores were higher than those of the conventional treatment group (P <0.05).The total effective rate in the modified and modified treatment group was 93.33%(28/30), higher than that in the conventional treatment group (70.00%(21/30))(χ2=5.455, P <0.05).Conclusion: The effect of modified Lingguizhugan Decoction on stroke patients in convalescent stage is good.
关键词 / Keywords
脑卒中;恢复期;常规治疗;苓桂术甘汤加减治疗;中医症候积分;神经功能 Stroke; convalescence; routine treatment; modified and modified lingguizhugan decoction; syndrome score of traditional chinese medicine; nerve function
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