观察脑梗死急性期证属气虚血瘀型患者应用补阳还五汤的临床疗效

梁慧

摘要：目的 观察脑梗死急性期气虚血瘀型患者应用补阳还五汤的临床疗效。方法 随机抽取2019年12月-2020年6月我院收治的脑梗死急性期气虚血瘀型患者共60例，按照数字表法分为参照组和实验组，各30例。参照组（常规西药），实验组（常规西药+补阳还五汤）。对比两种用药方法下患者的治疗效果、不良反应。结果 两组治疗效果对比有差异，实验组高于参照组，差异明显（P<0.05）。两组不良反应发生率对比有差异，实验组低于参照组，差异明显（P<0.05）。结论 给予患者补阳还五汤疗效显著，不良反应较少，具有推广的价值。

关键词：脑梗死急性期;气虚血瘀型;补阳还五汤;治疗效果;不良反应

[Abstract]Objective To observe the clinical effect of Buyang Huanwu Decoction on patients with acute cerebral infarction of qi deficiency and blood stasis type. Methods 60 patients with acute cerebral infarction of qi deficiency and blood stasis type in our hospital from December 2019 to June 2020 were randomly selected and divided into control group and experimental group according to the digital table method，30 cases in each group. The control group（conventional Western Medicine），the experimental group（conventional western medicine + Buyang Huanwu Decoction）. The therapeutic effect and adverse reactions of the two methods were compared. Results the treatment effect of the two groups was different，the experimental group was higher than the reference group，the difference was significant（P < 0.05）. The incidence of adverse reactions in the experimental group was lower than that in the reference group，the difference was significant（P < 0.05）. Conclusion Buyang Huanwu decoction has significant curative effect and less adverse reactions，which is worthy of promotion.

[Key words]acute cerebral infarction;Qi deficiency and blood stasis type;Buyang Huanwu Decoction;Treatment effect;Adverse reactions

腦梗死是我国高发的脑血管疾病，此病的发生是因局部脑组织血液供应缺乏所致的脑软化，此病发作的急性期患者容易出现不省人事的情况，而在此阶段患者若得到不到及时的治疗，便有可能造成患者死亡。因此，脑梗死急性期的治疗历来都是临床治疗的重中之重【1】。过往主要采用西药治疗的方法，但其效果却并不显著，所以在西药治疗的同时加用中药方剂就成为提高临床疗效的重要保障。此次研究将围绕着脑梗死急性期气虚血瘀型患者应用补阳还五汤的临床疗效进行分析论述，详细报告如下：

1资料方法

1.1研究资料

随机抽取2019年12月-2020年6月我院收治的脑梗死急性期气虚血瘀型患者共60例，按照数字表法分为参照组和实验组，各30例。参照组男16例，女14例，年龄47-76岁，平均年龄（60.13±3.44）岁;实验组男17例，女13例，年龄47-77岁，平均年龄（60.75±3.61）岁;两组基本资料比较无明显差异（P>0.05）。……