星蒌承气汤治疗痰热腑实型中风急性期临床疗效观察
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摘要
目的研究在痰热腑实型中风急性期的治疗中,使用星蒌承气汤对治疗效果的影响。方法选取2015年4月-2016年4月来我院就诊的100例患者为研究对象,将其随机分为两组,每组50例。对照组给予常规西医治疗,并采取相应的护理措施;观察组在此基础上,服用星蒌承气汤。共治疗1周。结果观察组治疗后总有效率为94. 0%(48/50),且有62. 0%(31/50)的患者效果显著;对照组治疗后总有效率为84. 0%(43/50),且仅有36. 0%(18/50)的患者效果显著。两组病例治疗后总有效率比较差异有统计学意义(P <0. 05)。两组病例治疗前后神经功能缺损评分、血浆蛋白含量、低切全血黏度、高切全血黏度比较差异有统计学意义(P <0. 05),两组病例治疗后神经功能缺损评分、血浆蛋白含量、低切全血黏度、高切全血黏度比较差异有统计学意义(P <0. 05)。结论采用星蒌承气汤配合西医治疗痰热腑实型中风急性期,能够取得更好的治疗效果,可以进行推广应用。
Objective To explore the effects of xinglou chengqi decoction on stroke at acute stage of phlegm heat excess pattern. Methods From April 2015 to April 2016,100 patients with stroke at acute stage of phlegm heat excess pattern were randomized into two groups,50 cases in each one. In the control group,the common treatment with Western medicine was used as well as nursing care. In the observation group,on the base of the treatment as the control group,the intensive treatment was given with xinglou chengqi decoction. The treatment was 1 week. Results The total effective rate was 94. 0% in the observation group and 62. 0% of patients received the significant effects. In the control group,the total effective rate was 84. 0% and 36. 0% of patients received the significant effects. The differences were statistical significance in nerve function deficit score,plasma protein(g/L),low-cutting whole blood viscosity and high-cutting whole blood viscosity between the two groups after treatment(P < 0. 05). Conclusion Xinglou chengqi decoction combined with Western medicine achieves the better effects on stroke at acute stage of phlegm heat excess pattern. Such treatment deserves to be promoted.
Objective To explore the effects of xinglou chengqi decoction on stroke at acute stage of phlegm heat excess pattern. Methods From April 2015 to April 2016,100 patients with stroke at acute stage of phlegm heat excess pattern were randomized into two groups,50 cases in each one. In the control group,the common treatment with Western medicine was used as well as nursing care. In the observation group,on the base of the treatment as the control group,the intensive treatment was given with xinglou chengqi decoction. The treatment was 1 week. Results The total effective rate was 94. 0% in the observation group and 62. 0% of patients received the significant effects. In the control group,the total effective rate was 84. 0% and 36. 0% of patients received the significant effects. The differences were statistical significance in nerve function deficit score,plasma protein(g/L),low-cutting whole blood viscosity and high-cutting whole blood viscosity between the two groups after treatment(P < 0. 05). Conclusion Xinglou chengqi decoction combined with Western medicine achieves the better effects on stroke at acute stage of phlegm heat excess pattern. Such treatment deserves to be promoted.
引文
[1]刘健红.星蒌承气汤加味治疗中风急性期痰热腑实型便秘31例临床观察[J].新中医,2011(7):23-24.
[2]苏业军,何乾超,刘永辉,等.星蒌承气汤治疗痰热腑实型中风急性期患者的临床观察[J].湖北中医杂志,2013,35(1):5-6.
[3]吴怡和.穴位敷贴配合针刺治疗痰热腑实型中风的临床研究[D].广州:广州中医药大学,2012.
[4]刘爽,孙奇,王艳明,等.星蒌承气汤治疗痰热腑实型中风急性期的临床疗效分析[J].中国继续医学教育,2016,8(14):206-207.
[5]关战立.中西医结合治疗痰热腑实型脑中风30例疗效观察[J].湖南中医杂志,2016,32(8):58-60.
[6]顾振杰.涤痰通腑法治疗中风急性期痰热腑实证的临床疗效观察[D].济南:山东中医药大学,2015.
[7]刘惠杰,徐寅平,顾兆一,等.化痰通腑法治疗中风病急性期痰热腑实证105例临床观察[J].中国中医基础医学杂志,2015(5):616-618.
[8]廉全荣,付俊丽.星蒌承气汤联合苦碟子治疗痰热腑实型急性脑梗死临床观察[J].中医临床研究,2014(4):120-121.
[9]赵成梅.加减星蒌承气汤治疗脑梗死急性期(痰热腑实证)临床观察[J].中国中医急症,2013,22(6):990-991.
[10]陈沛,凌丽丽,江澜,等.星蒌承气汤治疗急性缺血性中风病痰热腑实证临床观察[J].中西医结合心脑血管病杂志,2016,14(18):2097-2100.
[2]苏业军,何乾超,刘永辉,等.星蒌承气汤治疗痰热腑实型中风急性期患者的临床观察[J].湖北中医杂志,2013,35(1):5-6.
[3]吴怡和.穴位敷贴配合针刺治疗痰热腑实型中风的临床研究[D].广州:广州中医药大学,2012.
[4]刘爽,孙奇,王艳明,等.星蒌承气汤治疗痰热腑实型中风急性期的临床疗效分析[J].中国继续医学教育,2016,8(14):206-207.
[5]关战立.中西医结合治疗痰热腑实型脑中风30例疗效观察[J].湖南中医杂志,2016,32(8):58-60.
[6]顾振杰.涤痰通腑法治疗中风急性期痰热腑实证的临床疗效观察[D].济南:山东中医药大学,2015.
[7]刘惠杰,徐寅平,顾兆一,等.化痰通腑法治疗中风病急性期痰热腑实证105例临床观察[J].中国中医基础医学杂志,2015(5):616-618.
[8]廉全荣,付俊丽.星蒌承气汤联合苦碟子治疗痰热腑实型急性脑梗死临床观察[J].中医临床研究,2014(4):120-121.
[9]赵成梅.加减星蒌承气汤治疗脑梗死急性期(痰热腑实证)临床观察[J].中国中医急症,2013,22(6):990-991.
[10]陈沛,凌丽丽,江澜,等.星蒌承气汤治疗急性缺血性中风病痰热腑实证临床观察[J].中西医结合心脑血管病杂志,2016,14(18):2097-2100.