从阴阳两虚论治中风病痉挛性偏瘫的临床探究.pdfVIP

提 要 目的：用芍药甘草附子汤加减治疗中风病痉挛性偏瘫阴阳两虚证患者，进行临床 观察，以期寻找一种对中风病阴阳两虚证肢体痉挛行之有效的治疗方法，提高中医药 治疗中风病肢体痉挛的临床疗效，并为治疗中风病痉挛性偏瘫提供新思路。方法：选 择符合中风病痉挛性偏瘫恢复期阴阳两虚证诊断标准的病例 60 例，随机分成治疗组 30例和对照组30例。所有患者均给予常规基础治疗：血压高者给予降压药物；糖尿 病患者给予降糖药物；血脂高者给予降脂药物。（用药目标血压控制在140/90mmHg 左右，糖尿病患者控制在 130/80mmHg；血糖控制在使糖化血红蛋白6.5%；LDL-C 水 平降至 2.59mmol/L 或使 LDL-C 下降幅度达到 30%～40%），随机分为两组：对照组： 中风回春丸，每次1.8g，每日3次+常规基础治疗。治疗组：芍药甘草附子汤加减（水 煎服，日一剂）+常规基础治疗。治疗 8 周后，观察治疗前后证候改善程度、痉挛程 度、神经功能缺损程度、病残程度和日常生活能力评分。结果：治疗组患者的证候改 善程度、痉挛程度、神经功能缺损程度、病残程度和日常生活能力改善情况均优于对 照组，芍药甘草附子汤对中风病痉挛性偏瘫阴阳两虚证有明显的改善作用且不增加服 药风险。结论：芍药甘草附子汤治疗中风病痉挛性偏瘫阴阳两虚证有较好临床疗效， 可改善偏瘫肢体的肌张力，促进患肢功能的恢复，降低患者病残程度，提高其生活自 理能力。 关键词 中风病；痉挛性偏瘫；阴阳两虚证；芍药甘草附子汤；临床疗效 Clinical research on discussing on the asthenia of both yin and yang of stroke spastic hemiplegia Speciality: Neuropathic Auther: Li Na Tutor: Sun Xiqing Abstract Objective:Through the study of the Shaoyao-Gancao-Fuzi Decoction (SGFD)on the treatment of patients of stroke spastic hemiplegia with asthenia of both yin and yang,we hope to find an effective method of treating this disease,and improve the clinical efficacy of TCM therapy for it so as to provide a new approach for the treatment of stroke spastic hemiplegia.Methods:60 patients who correspond with the diagnostic criteria of asthenia of both yin and yang with stroke spastic hemiplegia were chosen and randomly divided into the treatment group (n=30) and the control group (n=30).All patients were given a regular basic treatment: patients with high blood pressure were given antihypertensive drugs; patients with diabetes mellitus were treated with hypoglycemic drugs;patients who had high lipid were given lipidemicmodulating drugs.(Drug target:blood pressure was controlled