缺血性卒中患者应用化痰逐瘀汤进行二级预防的临床效果分析

摘要

Objective To study the value of Huatan Zhuyu decoction on secondary prevention in patients with ischemic stroke. Methods 86 patients with ischemic stroke were randomly divided into A group and B group, with 43 cases in each group. To compare the effect of secondary prevention between A group who were treated with routine treatment and B group who were treated with Huatan Zhuyu decoction based on routine treatment. Results Functional independence measure scores(FIM), triglyceride(TG), total cholesterol(TC), and low density lipoprotein cholesterol(LDL-C) before treatment between the two groups had no statistical significance(P>0.05), but which after treatment in B group were obviously better than which in A group(P<0.05). The total effective rate in B group was obviously better than which in A group(P < 0.05), while the incidence rate of medicine side effect between the two groups had no statistical significance(P > 0.05). Conclusion Huatan Zhuyu decoction could improve the clinical effect of secondary prevention in patients with ischemic stroke.%目的：探讨化痰逐瘀汤在缺血性卒中二级预防中的应用价值。方法随机将86例缺血性卒中患者分为A及B两组，每组43例。A组给予常规治疗，B组给予常规联合化痰逐瘀汤治疗，对两组二级预防效果进行对比。结果治疗前两组功能独立性评定量表（FIM）评分、甘油三酯（TG）、总胆固醇（TC）及低密度脂蛋白胆固醇（LDL-C）比较差异无统计学意义（P＞0.05），但经治疗后B组FIM评分、TG、TC及LDL-C均较A组明显好转（P＜0.05）。同时B组总有效率明显优于A组（P＜0.05），且两组药物副作用发生率比较差异无统计学意义（P＞0.05）。结论化痰逐瘀汤可有效提高缺血性卒中的二级预防效果。