赵小敏

【摘要】目的 探讨瓜蒌薤白半夏汤加减治疗痰瘀阻络型缺血性中风急性期临床效果。方法 选取我院2017年1月～2018年7月60例痰瘀阻络型缺血性中风急性期患者分成两组。各30例，对照组给予常规西药治疗，观察组则给予常规西药联合瓜蒌薤白半夏汤加减治疗。比较两组痰瘀阻络型缺血性中风急性期治疗转归效果；治疗疗程为2周左右；观察指标：按《中医病证诊断疗效标准》评定疗效，比较两组患者治疗前后疗效差异。并比较治疗前后的NIHSS评分及ADL（日常生活能力量表评分）差异。结果 观察组的有效率94.12%，对照组有效率90.91%，两组比较，差异有统计学意义（P<0.05）；两组患者NIHSS评分及ADL评分对比，观察组优于对照组；差异有统计学意义（P<0.05）。结论 常规西药联合瓜蒌薤白半夏汤加减治疗痰瘀阻络型缺血性中风急性期的疗效确切，可有效改善患者预后，值得推广应用。

【关键词】瓜蒌薤白半夏汤加减；痰瘀阻络型缺血性中风急性期；临床效果

【中图分类号】R289 【文献标识码】A 【文章编号】ISSN.2095.6681.2018.32..02

【Abstract】Objective To investigate the clinical effect of Gualou xiebai Banxia decoction in treating acute stage of ischemic stroke with phlegm and blood stasis obstruction.Methods 60 patients with acute stage of ischemic stroke caused by phlegm and blood stasis from January 2017 to July 2018 were divided into 2 groups according to random number table method. 30 cases in each group.the control group was treated with conventional western medicine while the observation group was treated with conventional western medicine combined with Gualou xiebai Banxia decoction. To compare the effect of treatment of acute stage of ischemic stroke with phlegm and blood stasis blocking collaterals between the two groups. The treatment course was about 2 weeks. Observation index： the curative effect was evaluated according to the standard of curative effect for diagnosis of TCM diseases and syndromes， and the difference of curative effect between the two groups before and after treatment was compared. The nihss scores and ADL scores before and after treatment were compared.Results The effective rate of the observation group was 94.12 %，and that of the control group was 90.91 %.there was statistical significance between the two groups （P<0.05）.The nihss score and ADL score of the two groups were compared， and the observation group was better than the control group （P<0.05）.Conclusion The conventional western medicine combined with Gualou xiebai Banxia decoction has a definite curative effect in treating acute stage of ischemic stroke with phlegm and blood stasis obstruction. it can effectively improve the prognosis of patients and is worthy of popularization and application.

【key words】Gualou xiebai Banxia decoction； Acute stage of ischemic stroke with phlegm and blood stasis blocking collaterals； Clinical effect

本研究分析了瓜蔞薤白半夏汤加减治疗痰瘀阻络型缺血性中风急性期临床效果，现报告如下。

1 资料与方法

1.1 病例选择

1.1.1 诊断标准

西医诊断标准：参考中华医学会神经病学分会脑血管学组指定的《中国急性缺血性脑卒中诊治指南2010》中的诊断标准[1]。

中医诊断标准：符合中风痰瘀阻络型[2]。

1.1.2 纳入标准

发病2周以内患者，患者美国国立卫生研究院卒中量表评分（NIHSS评分）小于等于22分范围内，病人及家属同意本治疗方案。

1.1.3 排除标准

合并有心肺肝肾功能不全患者；合并有血液疾病患者；合并有脑出血患者；合并有脑外伤患者；合并有意识障碍或交流困难患者。

1.2 一般资料

根据随机数字表法进行2017年1月～2018年7月60例痰瘀阻络型缺血性中风急性期患者分成两组。……