中西医结合治疗气虚血瘀型脑中风后遗症康复的临床观察

摘要

目的 观察中西医结合法治疗气虚血瘀型脑中风后遗症康复的临床疗效.方法 将60例气虚血瘀型脑中风后遗症病人随机分为对照组和观察组,检测两组病人治疗前后神经功能缺损评分变化、服用药物后不良反应发生情况及临床疗效差异.结果 经治疗后,对照组总有效率为70.0%(痊愈1例,显效6例,好转14例,无效9例);观察组总有效率为86.7%(痊愈3例,显效12例,好转11例,无效4例),两组总有效率比较无统计学意义(P> 0.05),治疗组较对照组明显提高;治疗组病人治疗后神经功能缺损评分明显改善,且明显优于对照组(P<0.05).在整个用药过程中,两组病人未见严重药物不良反应事件发生.结论 中西医结合治疗气虚血瘀型脑中风后遗症可显著改善病人的临床症状(神经功能缺损),明显提高疗效.%Objective This study aimed to explore the clinical effectiveness of integrated traditional Chinese medicine and western medicine in the treatment of stroke sequela with qi-deficiency and blood-stasis syndrome.Methods Sixty patients with stroke sequela and qi-deficiency and blood-stasis syndrome were randomly divided into two groups:control group treated with western medicine routine treatment,and treatment group treated with integrated traditional Chinese medicine and western medicin.The neurological deficit scores (NDS), adverse drug reaction, and clinical efficacy were observed.Results After treatment,the total clinical effective rate was 86.7% in treatment group,and 70.0% in control group.The NDS were significant improved in treated group,which was higher than that in control group (P<0.05).There was no adverse drug reaction in two groups during the course of study.Conclusion The integrated traditional Chinese medicine and western medicine can improve the neurological deficit in patients with stroke sequela and qi-deficiency and blood-stasis syndrome.