本文選題：急性腦梗塞 + 補陽還五湯　； 參考：《中華中醫(yī)藥學(xué)刊》2017年03期

【摘要】：目的:探討補陽還五湯聯(lián)合川芎嗪對急性腦梗塞60例的血液流變學(xué)及預(yù)后的改善。方法:120例急性腦梗塞患者,通過隨機數(shù)表法分為觀察組和對照組,各60例。兩組患者均給予常規(guī)基礎(chǔ)治療,對照組給予川芎嗪注射液,觀察組在對照組基礎(chǔ)上加用補陽還五湯。比較兩組患者治療效果。結(jié)果治療后,觀察組NIHSS評分低于對照組[(6.34±0.78)分vs(8.45±1.13)分](P0.05);觀察組全血黏度、血漿黏度、紅細(xì)胞沉降率均比對照組低[(8.74±1.14)m Pa·s vs(10.58±1.55)m Pa·s,(1.65±0.31)m Pa·s vs(2.05±0.53)m Pa·s,(19.75±2.35)mm/h vs(24.56±3.06)mm/h](P0.05);觀察組治療后總有效率高于對照組[88.33%(53/60)vs71.67%(43/60)](P0.05);兩組患者治療過程中不良反應(yīng)比較無顯著差異[6.67%(4/60)vs13.33%(8/60)](P0.05)。結(jié)論在急性腦梗塞患者中應(yīng)用補陽還五湯聯(lián)合川芎嗪效果顯著,值得應(yīng)用推廣。
[Abstract]:Objective: to study the improvement of hemorheology and prognosis of 60 cases of acute cerebral infarction treated by Buyang Huanwu decoction and Ligustrazine. Methods 120 patients with acute cerebral infarction were randomly divided into observation group (n = 60) and control group (n = 60). Two groups of patients were given routine basic treatment, the control group was given Ligustrazine injection, and the observation group was treated with Buyang Huanwu decoction on the basis of control group. To compare the therapeutic effect between the two groups. Results after treatment, NIHSS scores in the observation group were lower than those in the control group [(6.34 鹵0.78) vs (8.45 鹵1.13)] (P0.05); 綰㈢粏鑳?yōu)娌夐檷鐜囧潎姣斿鐓Ьl勪綆[(8.74鹵1.14)m Pa路s vs(10.58鹵1.55)m Pa路s,(1.65鹵0.31)m Pa路s vs(2.05鹵0.53)m Pa路s,(19.75鹵2.35)mm/h vs(24.56鹵3.06)mm/h](P0.05);瑙傚療緇勬不鐤楀悗鎬繪湁鏁堢巼楂樹簬瀵圭収緇刐88.33%(53/60)vs71.67%(43/60)](P0.05);涓ょ粍鎮(zhèn)ｈ，

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