[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.
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益气活血法治疗脑卒中患者38例临床观察
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《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:
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.

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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