崔文浩

[摘要] 目的 探讨加味补阳还五汤防治脑卒中后遗症患者的临床效果研究。方法 方便选取2015年1月—2017年1月在该院内科治疗的80例脑卒中后遗症患者，随机分为两组，对照组采用常规西医治疗，观察组在此基础上采用加味补阳还五汤治疗，比较两组患者的治疗效果、神经功能、运动功能及生活质量。结果 观察组治疗有效率为95%，同期对照组的治疗有效率为77.5%，观察组明显较高，差异有统计学意义（P<0.05）；观察组治疗后NIHSS评分（9.65±1.26）分、ADL评分（88.67±12.43）分、FMA评分（31.49±2.92）分明显优于对照组NIHSS（14.97±2.74）分、ADL（72.35±11.66）分、FMA（26.32±3.07）分，差异有统计学意义（P<0.05）。结论 加味补阳还五汤防治脑卒中后遗症效果显著，能明显改善神经功能，促进偏瘫肢体运动能力的提高，增强生活自理能力，具有积极的临床意义。

[关键词] 脑卒中后遗症；加味补阳还五汤；临床效果

[中图分类号] R743 [文献标识码] A [文章编号] 1674-0742（2017）05（b）-0177-03

[Abstract] Objective To study the clinical effect of modified buyang huanwu tang in prevention and treatment of patients with sequela of stroke. Methods Convenient selection 80 cases of patients with sequela of stroke treated in our hospital from January 2015 to January 2017 were selected and randomly divided into two groups， the control group adopted the routine western medicine， while the observation group were treated with modified buyang huanwu tang on the basis of the control group， and the treatment effect， nerve function， motor function and quality of life were compared between the two groups. Results The treatment effective rate in the observation group was obviously higher than that in the control group， （95% vs 77.5%）， and the difference was statistically significant（P<0.05）， after treatment， the NIHSS score， ADL score and FMA score in the observation group were obviously better than those in the control group， [（9.65±1.26）points， （88.67±12.43）points， （31.49±2.92）points vs （14.97±2.74）points，（72.35±11.66）points，（26.32±3.07）points]， and the difference was statistically significant（P<0.05）. Conclusion The effect of modified buyang huanwu tang in prevention and treatment of patients with sequela of stroke is obvious， which can obviously improve the nerve function， promote the improvement of hemiplegic motor function and enhance the self-caring ability， which is of positive clinical significance.

[Key words] Sequela of stroke； Modified buyang huanwu tang； Clinical effect

腦卒中是临床高发的脑血管疾病，起病急骤、病情进展迅速，表现为急性的脑血管病变，伴随局限性的脑功能损害。该病好发于中老年人，病情凶险，致残致死率高，即使患者积极接受治疗，伴发各种后遗症的几率也很高[1]。中医在治疗脑卒中后遗症方面有独到的疗效，补阳还五汤是气虚血瘀证的代表方剂，专为中风后遗而设。该研究方便选择2015年1月—2017年1月该院收治的80例脑卒中后遗症患者作为研究对象，进行常规西医治疗以及辅助加味补阳还五汤，比较临床疗效，现报道如下。

1 资料与方法

1.1 一般资料

方便选取该院内科治疗的80例脑卒中后遗症患者，随机分为两组。观察组40例，男23例，女17例，年龄56～78岁，平均年龄（67.5±5.2）岁，病程1～3个月；对照组40例，男24例，女16例，年龄57～83岁，平均年龄（69.6±5.8）岁，病程1～2个月；所有患者均符合脑卒中诊断标准，其中，脑梗塞38例、脑出血31例、脑梗塞合并脑出血11例；所有患者肌力<Ⅳ级，属于脑卒中后遗症者，中医辨证为气虚血瘀证，症见患肢痿软无力、纵缓不收，伴有不同程度的肢体麻木、面色萎黄；……