芪丹化瘀方治疗缺血性中风恢复期气虚血瘀证的临床疗效视察.pdf

提 要 目的：探讨芪丹化瘀方治疗缺血性中风气虚血瘀证的临床疗效和机理。 方法：临床研究共收集病例 60 例，疗程为 28 天。按随机法分为芪丹化瘀方组 30例，脑心通组30例，观察其对缺血性中风患者神经缺损评分、日常生活能力积分 及中医气虚血瘀证证候积分的变化，并进行血液流变学观察、血清超敏C反应蛋白。 结果：临床研究表明：芪丹化瘀方能明显降低缺血性中风患者神经缺损评分、提 高日常生活能力，明显减轻气虚血瘀证证候积分，改善血液流变学指标，降低血清C 反应蛋白浓度。 结论：1. 芪丹化瘀方对缺血性中风恢复期气虚血瘀证具有较好的治疗效果。 2. 芪丹化瘀方能改善患者神经功能缺损评分、提高日常生活能力，明显减轻气虚血瘀证 证候积分，其神经保护作用可能与降低血清C反应蛋白含量，从而减轻炎症损伤、保 护血管内皮细胞有关。 关键词 缺血性中风；气虚血瘀证；芪丹化瘀方；临床观察 The Observation of clinical effect of Qidan Huayu Fang in treating Recovery stage of Cerebral Infarction Speciality：Internal Medicine of TCM. Author ：Wang Fengmeng Tutor：Prof Li Chang Sheng Abstract Objective ：To study the curative effect of recovery stage of ischemic apoplexy with qi-insufficicncy and blood stasis treated by Qidan Huayu Fang (QDHYF). Meyhods: We selected 30 cases recovery stage of ischemic apoplexy patients, taken of QDHYF, comparing with 30 cases of taking nao xin tong capsule, observing the neurological deficit score and ability of daily life and syndromes qi-insufficicncy and blood stasis of TCM, changes of blood and plasma viscosity, the level of blood CRP . Results ：QDHYF can relieve obviously neurological deficit score,improve ability of daily life,relieve the score of syndrome qi-insufficicncy and blood stasis, decrease blood and plasma viscosity, decrease blood CRP . Conclusion：1. QDHYF is obviously effective on treatment of recovery stage of Cerebral Infarction with syndrome qi-insufficicncy and blood stasis. 2. QDHYF can relieve obviously neurological deficit score, improve ability of daily life, relieve the score of syndrome qi-insufficicncy and blood stasis, decrease blood and plasma viscosity, reduced blood CRP leve