加减血府逐瘀汤在脑血栓形成恢复期患者中的疗效分析

王立峰，肖建华

（陕西省康复医院，陕西 西安，710065）

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摘要：

目的 研究加减血府逐瘀汤用于脑血栓形成恢复期的临床价值。方法 将我院76 例脑血栓形成恢复期患者按治疗方法分为观察组和对照组，各38例，对照组实施拜阿司匹灵、蚓激酶干预，观察组在此基础上给予加减血府逐瘀汤，观察中医疗效、血液流变学参数、Barthel（BI）指数及神经功能缺损评分（NIHSS）评分及不良反应发生率。结果 观察组总有效率（94.74%）显著高于对照组（76.32%）（P<0.05）；治疗后全血低切、全血高切、血浆粘稠度及红细胞聚集指数均低于治疗前及对照组治疗后（P<0.05）；观察组治疗后BI 指数显著高于对照组，NIHSS评分低于对照组（P<0.05）；两组不良反应发生率均为5.26%，差异不显著（P>0.05）。 结论 加减血府逐瘀汤可显著改善脑血栓形成恢复期患者血液流变学，联合常规西药疗效更加满意，不良反应可耐受。
 

关键词：加减血府逐瘀汤；脑血栓；恢复期

中图分类号：R743.3文献标志码：A文章编号：2096-1413(2017)20-0102-02

Curative effect analysis of modified Xuefu Zhuyu decoction in the recovery period of patients with cerebral thrombosis
WANG Li-feng, XIAO Jian-hua
(the Rehabilitation Hospital of Shaanxi Province, Xi``an 710065, China)

ABSTRACT: Objective To study the clinical value of modified Xuefu Zhuyu decoction in the recovery period of cerebral thrombosis. Methods Seventy -six cases patients with the recovery period of cerebral thrombosis in our hospital were divided into observational group and control group according to treatment methods, with 38 cases in each group. The control group received bayaspirin and lumbrokinase intervention, while the observational group added Xuefu Zhuyu
decoction on the basis of treatment of the control group. The efficacy of traditional Chinese medicine, the parameters of hemorheology, Barthel (BI) index and neurological impairment score (NIHSS) and the incidence of adverse reactions were observed. Results The total effective rate of the observational group was 94.74%, which was higher than 76.32% of the control group (P<0.05); the whole blood low shear, the whole blood high shear, blood viscosity and erythrocyte aggregation index in plasma of the observational group after treatment, were lower than those before treatment and those of the control group (P<0.05); the BI index of the observational group was significantly higher than that of the control group after treatment, and the NIHSS score was significantly lower than that of the control group (P<0.05); the incidence of adverse reactions in the two groups was 5.26%, and the difference was not statistically significant (P>0.05). Conclusion Modified Xuefu Zhuyu decoction can significantly improve hemorheology in patients with the recovery period of cerebral thrombosis, and the effect was more satisfied when it combined with routine chemicals, and the adverse reactions can be tolerated.

KEYWORDS: modified Xuefu Zhuyu decoction; cerebral thrombosis; convalescence

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