补阳还五汤联合西药治疗脑梗塞后遗症随机平行对照研究

目的]观察补阳还五汤联合西药治疗脑梗塞后遗症疗效。方法]使用随机平行对照方法,将104例住院患者按掷骰子法简单随机分为两组。对照组52例阿司匹林,50mg/次,1次/d。治疗组52例补阳还五汤(黄芪30g,当归、赤芍各15g,桃仁、地龙、红花各10g;语言表达障碍加石菖蒲10g;口角歪斜加全蝎、白附子、僵蚕各5g;下肢障碍加天麻10g;上肢偏痪加桂枝10g;便秘加肉苁蓉10g),1剂/d,水煎300m L,早晚口服;西药治疗同对照组。连续治疗14d为1疗程。观测临床症状、偏瘫、眩晕、不良反应。连续治疗2疗程,判定疗效。结果]治疗组痊愈10例,显效30例,有效9例,无效3例,总有效率94.23%。对照组痊愈5例,显效15例,有效21例,无效11例,总有效率78.84%。治疗组疗效优于对照组(P0.05)。结论]补阳还五汤联合西药治疗脑梗塞后遗症效果显著,值得推广。

Sequelae of Cerebral Infarction Randomized Parallel Group Study BYHWD Combined Western Medicine

Objective ] BYHWD sequelae of cerebral infarction combined effect of western medicine. Methods ] Random parallel control method, 104 cases of hospitalized patients were randomly divided into two groups dice method is simple. The control group 52 cases of aspirin, 50mg / times, 1 times/d. Treatment group 52 cases BYHWD （Huangqi 30g, Danggui,Chishao15g,Taoren,Dilong, Honghua10g; language barriers add Shichangpu 10g; mouth askew plus Quanxie,Baifuzi,Jiangchan each 5g; lower limb disorders plus Tianma 10g; upper partial paralysis Guizhi 10g; constipation plus Roucongrong 10g ） . 1/d, decoction 300mL, sooner or later orally. Western medicine with the control group. 14d is a continuous course of treatment. Observing clinical symptoms of adverse reactions. 2 courses of continuous treatment, to determine efficacy. Results ] 10 cases were cured, 30 eases markedly effective in 9 cases, 3 cases, the total efficiency of 94.23%. Recovered five cases in the control group, 15 cases markedly effective in 21 cases, 11 cases, the total efficiency of 78.84%. Treatment group than the control group （ P〈0.05 ） . Conclusion ] BYHWD western medicine combined effect is significant sequelae of cerebral infarction, worthy of promotion.