血府逐瘀汤治疗急性缺血性脑卒中的疗效①.pdfVIP

中国康复理论与实践2013 年3 月第19 卷第3 期 Chin J Rehabil Theory Pract, Mar. 2013, Vol. 19, No.3 - 263 - DOI : 10.3969/j.issn. 1006-9771.2013.03.017 ·临床研究· 血府逐瘀汤治疗急性缺血性脑卒中的疗效① 李应宏 [摘要] 目的 观察血府逐瘀汤治疗急性缺血性脑卒中的近期临床疗效。方法 72 例急性缺血性脑卒中患者随机分为治疗组 和对照组各36 例，对照组采用常规药物治疗及依达拉奉，治疗组在对照组的基础上加用血府逐瘀汤，共14 d 。比较两组临床疗 效、美国国立卫生研究院卒中量表(NIHSS)评分、Barthel 指数(BI)及中医症候积分。结果 治疗组与对照组总有效率分别为97.22% 和77.78% ，愈显率分别为80.55% 和50.00% (均P0.05) ；治疗后治疗组NIHSS 、BI 及中医症候积分均显著优于对照组(P0.001) 。 结论 血府逐瘀汤治疗急性缺血性脑卒中效果显著。 [关键词] 急性缺血性脑卒中；血府逐瘀汤；神经功能；日常生活活动能力 Effect of Xuefuzhuyu Decoction on Acute Ischemic Stroke LI Ying-hong. Gansu Wuwei Tumour Hospital, Wuwei 733000, Gansu, China Abstract: Objective To explore the recent clinical effects of Xuefuzhuyu Decoction on acute ischemic stroke. Methods 72 patients were randomly divided into treatment group (n=36) and control group (n=36). The control group received routine medicine and Edaravone, and the treatment group received Xuefuzhuyu Decoction in addition, for 14 d. They were assessed with National Institute of Health Stroke Scale (NIHSS), Barthel index (BI) and Traditional Chinese Medicial (TCM) symptom accumulated points. Results The total rate of improve- ment were 97.22% and 77.78% for the treatment group and the control group respectively, while the rate of very improvement were 80.55% and 50.00% respectively (P0.05). The scores of NIHSS, BI and TCM symptom accumulated points improved more in the treatment group than in the control group (P0.001) after the treatment. Conclusion Xuefuzhuyu Decoction is effective on acute ischemic stroke. Key words: acute ischemic stroke; Xuefuzhuyu Decoction; neurological function; activities of daily living [中图分类号] R743.3 [文献标识码] A [文章编号] 1006-9771(2013)03-0263