中医辨证治疗脑梗死后遗症的效果研究及分析

李璟怡 李仓达 毕晓君 王艳明 刘 葛



中医辨证治疗脑梗死后遗症的效果研究及分析

李璟怡 李仓达 毕晓君 王艳明 刘 葛

【摘要】目的 研究和分析中医辨证治疗脑梗死后遗症的临床效果。方法 本次研究患者为我院2014年10月～2015年10月收治的脑梗死后遗症患者120例，根据随机数字法将患者分为对照组和观察组，每组患者60例，两组患者在性别、年龄、临床症状上差异无统计学意义（P ＞0.05），两组间数据可进行比较分析。观察组患者进行中医辨证疗法治疗，根据患者症状，应用益气化瘀的方剂进行调剂；对照组患者给予西医治疗，给予患者扩血管药、微循环改善药进行治疗。两组患者治疗后评价并比较两组治疗效果。结果 经过3个月的治疗，两组患者临床效果如下：观察组60例患者治愈36例、显效12例、好转10例、无效2例，总有效率96.7%；对照组60例患者治愈31例、显效11例、好转10例、无效8例，总有效率86.7%。观察组和对照组比较总有效率，观察组优于对照组，且P＜0.05差异具有统计学意义。结论 应用中医辨证疗法治疗脑梗死后遗症，可明显提高患者的肢体运动功能和语言功能，改善患者症状，临床效果显著。

【关键词】中医辨证；脑梗死；后遗症；临床疗效

Objective To study and analyze the clinical effect of TCM treatment for cerebral infarction sequelae. Methods From October 2014 to October 2015，120 cases of patients with cerebral infarction sequelae in our hospital were divided into control group and observation group，according to the random number method，60 cases of patients in each group，there were no statistically significant difference about gender，age and clinical symptoms between two groups （P＞0.05），to comparatively analyze the available data between two groups. Observation group was treated with TCM therapy，according to the patient's symptoms of transfers，the application of Yiqihuayu prescription. Control group were treated with western medicine administered to a patient vasodilators，microcirculation improving drug treatment，to compare and evaluate the therapeutic effect of two groups of patients after treatment. Results After 3 months treatment，36 cases were cured in the observation group，12 cases were effective，10 cases were markedly improved，2 cases were inefficient，the total efficiency of observation group was 96.7%；31 cases of control group were cured ，11 cases were effective，10 cases were markedly improved，8 cases were ineffcient，the total efficiency of control group was 86.7%. The total effective rate of observation group was higher than that of control group，and the difference was statistically significant，P＜0.05. Conclusion TCM therapy in the treatment of cerebral infarction sequelae has effects on significantly improving the patient's limb motor function，language function and symptoms.

【Key words】 Traditional Chinese medicine syndrome differentiation，Cerebral infarction，Sequelae，Clinical Effect

脑梗死后遗症是内科中较为常见的疾病，其严重影响患者及其家属的生活质量［1-3］。临床上对于脑梗死后遗症的治疗多采用西药治疗或中药治疗［4-5］。本次研究探讨采用中医辨证疗法治疗脑梗死后遗症的临床效果，现报道如下：

1　资料和方法

1.1临床资料