林晓玲

[摘要]目的 探讨研究益气活血、燥湿化痰中药联合西医常规治疗缺血性脑卒中后遗症的临床效果。方法 选取2015年10月～2017年10月我院收治的缺血性脑卒中后遗症患者91例，并分成观察组（46例）和对照组（45例）。对照组采取常规西医对症治疗方案，观察组在此基础上加以益气活血、燥湿化痰中药作治疗方案，比较两组的临床效果。结果 观察组治疗总有效率为89.13%，高于对照组（71.11%）（P<0.05）；观察组全血黏度、血浆黏度、纤维蛋白原含量等低于對照组，差异均有统计学意义（P<0.05）。结论 对缺血性脑卒中后遗症采取益气活血、燥湿化痰中药联合西医治疗，可有效提高患者治疗效率的同时有助于改善其血液流通性，值得临床上推广。

[关键词]益气活血；燥湿化痰中药；西医常规疗法；缺血性脑卒中后遗症

[中图分类号] R743.3 [文献标识码] A [文章编号] 1674-4721（2018）6（b）-0149-03

Clinical effect of Yiqi Huoxue，Dempness and phlegm dissipating traditional Chinese medicine combined with Western medicine in treating the sequela of ischemic cerebral apoplexy

LIN Xiao-ling

Department of Pharmacy，People′s Hospital of Wuchuan City，Guangdong Province，Wuchuan 524500，China

[Abstract]Objective To study the clinical effect of Yiqi Huoxue，Dempness and phlegm dissipating traditional Chinese medicine combined with Western medicine in treating the sequela of ischemic cerebral apoplexy.Methods A total of 91 cases of ischemic stroke sequelae patients admitted to our hospital from October 2015 to October 2017 were randomly selected and divided into the observation group （46 cases） and the control group （45 cases）.The control group was adopted the routine Western medicine treatment regimen，and the observation group was based on the treatment plan of Yiqi Huoxue and and comparing the clinical effects of the two groups.Results The total effective rate was 89.13%，higher than 71.11% in the control group （P<0.05）.The total blood viscosity，plasma viscosity and fibrinogen content of the observation group were lower than that of the control group，the differences were statistically significant（P<0.05）.Conclusion yiqi huoxue approaches for the patients with ischemic cerebral apoplexy sequel，dampness and phlegm dissipatring combined Chinese traditional medicine western medicine treatment，effectively improve the efficiency of patients at the same time help to improve the liquidity，the blood is worth popularizing clinically，

[Key words]Yiqi Huoxue；Dampness and phlegm dissipating traditional Chinese medicine；Western medicine routine therapy；Sequelae of ischemic stroke

缺血性脑卒中临床上也称为脑梗死，主要发病机制均是受多种内外因素影响而阻塞其脑部血管及血液供应不足等，而导致其脑动脉主干、分支中形成血栓、管腔狭窄等症状。该病患者临床上多以口眼歪斜、半身不遂及猝然昏仆等多种症状作为后遗症主要表现，若不及时给予有效治疗，对患者生活质量及身心健康均会构成严重威胁[1-2]。历年来，临床上对缺血性脑卒中后遗症根据其病情进展来实施常规西医对症治疗干预，虽有一定的临床疗效，能降低患者死亡率，但由于此病症多发于中老年群体，且患者出院后出现的行走、语言、视觉功能及精神方面的障碍问题仍未有效根治，对患者及家属生活方面均造成较大的精神压力和经济负担[3-4]。因此，随着中医事业的大力发展，临床明确指出此病症患者中医症候类型多为“中风病”范畴，故对其病症范畴及发病机制给予中药温服、针灸活络及相关康复措施等进行临床病症改善，对改善患者血液循环系统及保护脑神经具有较好的临床价值，但目前临床对此类研究相关报道仍较为缺乏，故其整体疗效和药物机理仍需研究[5-6]。……