张小芳　魏鹏

[摘要] 目的 研究補阳还五汤+针灸运用于脑血栓中的价值。 方法 方便选择该院2017年2月—2018年5月收治的66例脑血栓患者，按照数字表法随机分为两组，各33例，研究组采取补阳还五汤+针灸，对照组采取补阳还五汤，对比两组治疗结果。结果 研究组总有效率90.91%，明显高于对照组78.79%，差异有统计学意义（χ2=5.714，P<0.05）;治疗前研究组NIHSS评分（16.35±4.12）分与对照组（16.07±4.08）分差异无统计学意义（t=0.277，P>0.05），研究组治疗后3 d（13.58±2.12）分、1周（10.23±3.14）分及1个月（8.64±2.78）分均低于对照组（14.92±2.84）分、（13.87±3.59）分及（10.15±3.26）分，差异有统计学意义（t=2.172，4.384，2.025，P<0.05）;治疗前两组的全血黏度、纤维蛋白原及红细胞压积差异无统计学意义（t=0.076，0.308，0.848，P>0.05），治疗后研究组各指标水平均低于对照组，差异有统计学意义（t=2.975，3.862， 17.769，P<0.05）;治疗前两组的生理职能、躯体疼痛、社会功能、精神健康评分相比差异无统计学意义（t=0.502，0.464， 0.635，0.560，P>0.05），治疗后研究组各项评分均高于对照组，差异有统计学意义（t=11.073，7.544，15.287，8.231，P<0.05）。 结论 补阳还五汤+针灸运用于脑血栓中效果明显，改善神经功能缺损，提高生活质量，促进血液指标恢复，稳定病情。

[关键词] 疗效分析;补阳还五汤;中医;脑血栓;针灸

[中图分类号] R277.7          [文献标识码] A          [文章编号] 1674-0742（2019）08（b）-0173-03

[Abstract] Objective To study the value of Buyang Huanwu Decoction and acupuncture in cerebral thrombosis. Methods 66 patients with cerebral thrombosis who were included in our hospital from February 2017 to May 2018 were convenient selected and randomly divided into two groups according to the digital table method. The study group took Buyang Huanwu decoction + acupuncture， and the control group took Buyang Huanwu soups， compared the results of the two groups. Results The total effective rate of the study group was 90.91%， which was significantly higher than that of the control group 78.79%，the difference was statistically significant（χ2=5.714， P<0.05）. There was no difference between the NIHSS score （16.35±4.12）points and the control group （16.07±4.08）points before treatment （t=0.277， P>0.05）， the study group three days （13.58±2.12）points， one week （10.23±3.14）points and one month（8.64±2.78）points were lower than the control group （14.92±2.84）points， （13.87±3.59）points and （10.15±3.26）points，the difference was statistically significant（t=2.172， 4.384， 2.025， P<0.05）; there was no difference in whole blood viscosity， fibrinogen and hematocrit between the two groups before treatment （t=0.076， 0.308， 0.848， P>0.05）， the level of each indicator in the study group was lower than that in the control group after treatment，the difference was statistically significant（t=2.975， 3.862， 17.769， P<0.05）; the physiological functions， physical pain， social function， spirit health scores of the two groups before treatment had no difference （t=0.502， 0.464， 0.635， 0.560， P>0.05）. After treatment， the scores of the study group were higher than those of the control group，the difference was statistically significant（t=11.073， 7.544， 15.287， 8.231， P<0.05）. Conclusion Buyang Huanwu Decoction + acupuncture and moxibustion is effective in cerebral thrombosis， improve neurological deficit， improve quality of life， promote blood index recovery and stabilize the disease.