[1]王波,齐进利△,张红梅,等.益气活血法治疗脑卒中患者38例临床观察[J].西部中医药,2017,30(12):58-60.
 WANG Bo,QI Jinli,ZHANG Hongmei,et al.Clinical Observation on Invigorating-Qi Activating-blood Method in Treating 38 Stroke Patients[J].Western Journal of Traditional Chinese Medicine,2017,30(12):58-60.
点击复制

益气活血法治疗脑卒中患者38例临床观察
分享到:

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
30
期数:
2017年12期
页码:
58-60
栏目:
报道·临证经验
出版日期:
2017-12-15

文章信息/Info

Title:
Clinical Observation on Invigorating-Qi Activating-blood Method in Treating 38 Stroke Patients
文章编号:
1004-6852(2017)12-0058-03
作者:
王波齐进利△张红梅康萍香高霞刘耀龙
延安市中医医院,陕西 延安 716000
Author(s):
WANG Bo QI Jinli△ ZHANG Hongmei KANG Pingxiang GAO Xia LIU Yaolong
Yan′an Municipality TCM Hospital, Yan′an 716000, China
关键词:
脑卒中益气活血法同型半胱氨酸超敏C-反应蛋白D-二聚体
Keywords:
stroke invigorating-Qi activating-blood method Hcy hs-CRP DD
分类号:
R743.3
文献标志码:
B
摘要:
目的:观察益气活血法治疗脑卒中的临床疗效及对神经功能和血清因子的影响。方法:将78例脑卒中患者随机分为对照组40例和观察组38例。对照组给予常规西医治疗,观察组在对照组治疗的基础上给予益气活血法治疗,2组均连续治疗4周,观察比较2组临床疗效、治疗前后的美国国立卫生研究所(NISS)评分、日常生活活动指数(Barthel)评分及血瘀症状积分、血清同型半胱氨酸(Hcy)、D-二聚体(DD)及超敏C-反应蛋白(hs-CRP)的变化。结果:总有效率观察组为84.2%,对照组为65.0%,2组比较差异有统计学意义(P<0.05)。NISS、Barthel评分及血瘀症状积分治疗前后2组组内比较,差异有统计学意义(P<0.05);治疗后2组组间比较,差异也有统计学意义(P<0.05)。Hcy、DD及hs-CRP疗前后2组组内比较,差异有统计学意义(P<0.05);治疗后2组组间比较,差异也有统计学意义(P<0.05)。结论:益气活血法治疗脑卒中疗效显著,可有效提升患者神经功能和生活能力,抑制血清因子。
Abstract:
Objective: To observe clinical effects of invigorating-Qi activating-blood method in treating stroke and its influence on neurologic function and serum factors. Methods: All 78 patients were randomized into 40 case in the control group and 38 cases in the observation group. The control group accepted routine treatment of western medicine, and the observation group were treated by invigorating-Qi activating-blood method on the foundation of routine treatment of western medicine, both groups were treated for four weeks consecutively, the changes of hs-CRP, DD, Hcy, symptoms scales of blood stasis, Barthel scales, NISS scales before and after treating, and clinical effects of both groups were observed and compared. Results: Total effective rate of the observation group was 84.2%, higher than 65.0% of the control group, and the difference was statistically significant (P<0.05). The difference had statistical meaning in the comparisons of NISS, Barthel scales and symptoms scales of blood stasis before and after treating within two groups(P<0.05); The difference had statistical meaning in the comparisons between both groups after treating(P<0.05). There was a significant difference in the comparison of Hcy, DD and hs-CRP before and after treating within two groups(P<0.05); the difference was significant in the comparison between both groups after treating(P<0.05). Conclusion: Invigorating-Qi activating-blood method is effective in treating stroke, which could effectively raise neurologic function and living ability, and decrease serum factors.

相似文献/References:

[1]胡敏棣,李晓娟,边笑梅.中医体质学说在脑卒中防治中的应用[J].西部中医药,2012,25(10):99.
 HU Min-li,LI Xiao-juan,BIAN Xiao-mei.Application of TCM Constitution Theory to the Prevention of Cerebral Apoplexy[J].Western Journal of Traditional Chinese Medicine,2012,25(12):99.
[2]刘智斌,牛晓梅,王 渊,等.针刺“新膀胱俞”穴治疗脑卒中后尿潴留疗效观察[J].西部中医药,2013,26(01):100.
 LIU Zhibin,NIU Xiaomei,WANG Yuan,et al.Observation on Therapeutic Effects of Needling“Xin PangGuang Shu"[J].Western Journal of Traditional Chinese Medicine,2013,26(12):100.
[3]何君芳,冯海霞△,姚惠侠,等.甘肃省脑卒中康复治疗现状*[J].西部中医药,2012,25(12):118.
 HE Jun-fang,FENG Hai-xia,YAO Hui-xia,et al.On Rehabilitation Treatments for Cerebral Apoplexy in Gansu Province[J].Western Journal of Traditional Chinese Medicine,2012,25(12):118.
[4]陈松涛.蒙古族人群原发性高血压ABPM参数与脑卒中筛查的相关性分析[J].西部中医药,2013,26(06):35.
 CHEN Songtao.Study on ABPM Parameter of Primary Hypertension in Mongolian Nationality and Screening of Cerebral Apoplexy[J].Western Journal of Traditional Chinese Medicine,2013,26(12):35.
[5]姚惠侠,冯海霞△,何君芳,等.脑卒中患者对负性情绪及心理治疗认知状况的调查[J].西部中医药,2012,25(08):56.
 YAO Hui-xia,FENG Hai-xia,HE Jun-fang,et al.Survey on Stroke Patients′ Cognition of Negative Emotion and Psychological Treatment[J].Western Journal of Traditional Chinese Medicine,2012,25(12):56.
[6]陈松涛.蒙古族人群原发性高血压晨峰现象与脑卒中筛查的研究分析[J].西部中医药,2013,26(07):56.
 CHEN Songtao.Study between Cerebral Apoplexy Screening and Morning Surge in Patients from Mongolian Nationality with Primary Hypertension[J].Western Journal of Traditional Chinese Medicine,2013,26(12):56.
[7]李西兄.早期康复介入对急性脑卒中偏瘫患者运动功能的影响[J].西部中医药,2013,26(07):107.
 LI Xixiong.Effects of Early Rehabilitation Intervention on Motor Function of Hemiplegic Patients with Acute Cerebral Apoplexy[J].Western Journal of Traditional Chinese Medicine,2013,26(12):107.
[8]曾贤翠,王文彦,顾克繁,等.白银市气象因素与脑卒中的相关性研究[J].西部中医药,2012,25(07):55.
 ZENG Xian-cui,WANG Wen-yan,GU Ke-fan,et al.Relativity Study between Cerebral Apoplexy and Meteorological Factors of Baiyin Municipality[J].Western Journal of Traditional Chinese Medicine,2012,25(12):55.
[9]刘超,李成山,李妍怡△.中风膏对缺血性脑卒中患者血小板聚集率的影响[J].西部中医药,2013,26(12):5.
 LIU Chao,LI Chengshan,LI Yanyi.Effects of ZhongFeng Ointment on Platelet Aggregation Rate of the Patients with Ischemic Stroke[J].Western Journal of Traditional Chinese Medicine,2013,26(12):5.
[10]朱根福,叶譞斐,陈根成.益气活血法治疗中风恢复期临床疗效观察[J].西部中医药,2014,27(07):64.
 ZHU Genfu,YE Xuanfei,CHEN Gencheng.Curative Observation on the Method of Tonifying Qi and Activating Blood in the Treatment for Stroke at Recovery Period[J].Western Journal of Traditional Chinese Medicine,2014,27(12):64.

备注/Memo

备注/Memo:
收稿日期:2017-05-27 *基金项目:延安市科技局惠民项目(编号SL2016KW-145)。 作者简介:王波(1976—),男,主治医师。研究方向:内科疾病的中西医诊治。 △通讯作者:齐进利(1974—),副主任医师。研究方向:超声诊断。
更新日期/Last Update: 2017-12-15