摘要
[目的]观察通栓活络汤治疗痰瘀阻络型缺血性中风疗效。[方法]使用随机平行对照方法,将80例住院患者按就诊顺序编号简单随机分为两组。对照组40例奥扎格雷钠,80mg/次,1次/d,连续14d;阿司匹林肠溶片,100mg/次,1次/d;胞二磷胆碱0.5-1g＋5%葡萄糖250mL,1次/d;对症治疗。治疗组40例通栓活络汤（半夏、白术各15g,石菖蒲20g,陈皮15g,川芎、桃仁各20g,红花10g,水蛭8g,地龙15g）,1剂/d,水煎300mL,早晚口服;西药治疗同对照组。连续治疗30d为1疗程。观测临床症状、中医证候、神经系统症状体征、不良反应。连续治疗2疗程,判定疗效。[结果]临床疗效、中医证候、神经功能缺损改善疗效治疗组优于对照组（P〈0.01）。[结论]通栓活络汤联合西药治疗痰瘀阻络型缺血性中风疗效满意。
[ Objective ] To observe the tong chuan adjustable soup treatment of phlegm and blood stasis resistance type complex curative effect of isehemic stroke. [ Methods ] Using random parallel control method, 80 cases of hospitalized patients in clinic order Numbers simple random divided into two groups. The control group,40 cases of ozagrel sodium 80 mg/times, 1 / d, lg d;Aspirin enteric-coated metformin hydrochloride, 100 mg/times, 1 / d ; Cytidine diphosphate choline 0.5 - 1 g ＋ 5% glucose of 250 m, 1 / d;Symptomatic treatment. Treatment group （ 40 cases of tong chuan adjustable soup （ pinellia, atractylodes each 15 g, including 20 g, 15 g dried tangerine or orange peel, rhizoma ligustici wallichii, each 20 g peach kernel, safflower, 10 g 8 g leech, earthworm 15 g）, 1 / d, Fried 300 ml water, morning and evening oral;Western medicine treatment with the control group. Continuous treatment of 30 d for 1 course of treatment. Observation of clinical symptoms, syndromes, neurological symptoms and signs, adverse reactions. Continuous treatment 2 period of treatment, judge curative effect. [ Result ] The clinical curative effect, Chinese medicine syndrome, nerve function defect to improve curative effect of treatment group is better than that of control group （ P 〈 0.01 ） . Tong hua loose soup combined western medicine therapy. [ Conclusion ] The phlegm and blood stasis resistance type winding ischemic stroke curative effect is satisfied
出处
《实用中医内科杂志》
2014年第5期30-32,共3页
Journal of Practical Traditional Chinese Internal Medicine
关键词
痰瘀阻络型缺血性中风
通栓活络汤
中医证候
神经系统症状
奥扎格雷钠
阿司匹林肠溶片
胞二磷胆碱
随机平行对照研究
Phlegm and blood stasis resistance type winding ischemic stroke
Tong hua adjustable soup
The doctor of traditional Chinese medicine syndrome
The nervous system symptoms
Mr Ozagrel sodium
Aspirin enteric-coated metformin hydrochloride
Cytidine diphosphate choline
Random parallel control study
