加味补阳还五汤治疗气虚血瘀型脑梗塞的疗效分析

杨姣玲

（陕西省延安市富县中医医院，陕西 延安，727500）

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摘要：

目的 观察加味补阳还五汤治疗气虚血瘀型脑梗塞的临床效果。方法 将86例气虚血瘀型脑梗塞患者随机分为对照组 和观察组，每组43例。对照组采用西药对症治疗，观察组在对照组的基础上给予加味补阳还五汤治疗。比较两组的治疗效果，治疗前后肝功能、血脂改善情况。结果 两组连续治疗14 d 后，观察组总有效率达93.02%，显著高于对照组的总有效率 72.09%（P<0.05）。两组治疗后AST、ALT、TG、TC均显著优于治疗前，观察组优于对照组（P<0.05）。结论 采用加味补阳还五汤治疗气虚血瘀型脑梗塞临床效果显著，患者肝功能、血脂改善明显，值得临床推广应用。

关键词：补阳还五汤；气虚血瘀；脑梗塞；肝功能；血脂

中图分类号：R743.33文献标志码：A文章编号：2096-1413(2017)20-0104-02

Clinical effect analysis of modified Buyang Huanwu decoction in the treatment of cerebral infarction type

of Qi deficiency and blood stasis
YANG Jiao-ling
(Fu County Hospital of Traditional Chinese Medicine, Yan``an 727500, China)

ABSTRACT: Objective To observe the clinical effect of modified Buyang Huanwu decoction in treatment of cerebral infarction type of Qi deficiency and blood stasis. Methods Eighty -six cases patients with cerebral infarction type of Qi deficiency and blood stasis were randomly divided into control group and observation group, with 43 cases in each group. Chemicals symptomatic treatment were used in the control group, modified Buyang Huanwu decoction was added in the observation group. The treatment effect, liver function, blood lipids before and after treatment were observed between the two groups. Results Two groups received treatment for continuous 14 d, the total effective rate of the observation group was 93.02%, which was significantly higher than 72.09% of the control group(P<0.05). The AST, ALT, TG, TC of the two groups after treatront were significantly better than before treatment, and the observation group was significant superior to the control group (P<0.05). Conclusion Modified Buyang Huanwu decoction in the treatment of cerebral infarction type of Qi deficiency and blood stasis has remarkable effect, it can significantly improve liver function and the level of blood lipids of the patients, which is worthy of clinical application.
KEYWORDS: modified Buyang Huanwu decoction; Qi deficiency and blood stasis; cerebral infarction; liver function; blood lipids

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