灯盏生脉胶囊联合针刺治疗缺血性中风恢复期60 例临床观察[J].pdf

:SE/?Z9(o863p9)(2007AA02Z4B2)YT:,,(010)640144113310V35O6054马云枝1付菊花1杨靖2(1.河南中医学院第一附属医院脑病二区,河南省郑州市人民路19号,450000；2.中国中医科学院中医临床基础医学研究所)K1NV35O5rbZE460,sFvF30bvF75mggaCB#$h,FN$FV35#OE,21,65r,i4Fq#i?fbTF9rq83.3%,vF9rq73.3%,F1sd9il(P0.05)；g|aaCa$h|a8!a,#HZFrqvF(P0.05P0.01)；Fhi?ZvF(P0.05)bV35rMOi?b1oMV35；OE；|Y|ClinicalObservationontheTreatmentofDengzhanShengmaiCapsuleplusAcupunctureintheRecoveryStageofIschemicWindstrokeiAReportof60CasesMAYunzhi1,FUJuhua1,YANGJing2(1.TheFirstAffiliatedHospitalofHenanUniverisityofChineseMedicine,Zhengzhou450000；2.InstituteofBasicResearchinClinicalMedicine,ChinaAcademyofChineseMedicalSciences)ABSTRACTObjectiveToevaluatetheeffectofDengzhanShengmaiCapsule(Erigeronbreviscapuscapsuleforwindstroke)plusacupunctureinthetreatmentofrecoverystageofischemicwindstroke.MethodsThe60enrolledpatientswererandomizedintoatreatmentgroupandacontrolgroupwith30ineach.Thecontrolgroupwasorallyadministeredenteric-coatedAspirintablets(75mg),exercisetrainingrehabilitation,andtreatmentforbasicdiseases,basedonwhich,thetreatmentgroupwastreatedwithDengzhanShengmaiCapsuleandacupuncture.Twoweeksasonecourse,andsixcoursesintotal.Then,thetherapeuticeffectwasevaluated,andtheobservationontheimprovementofsymptomsandincidenceofcomplicationswereconducted.ResultsThetotaleffectiverateofthetreatmentgroupandthecontrolgroupwas83.3%and73.3%inrespectively,thedifferencebetweenwassignificant(P0.05).Theeffectiverateofimprovementindeviationofmouthandtongue,speechdifficulties,shortnessofbreath,tiredness,hypesthesia,numbnessoflimbs,purpledarktongue,andwhitestickytonguecoatinginthetreatmentgroupwashigherthanthatinthecontrolgroup(P0.05orP0.01).Inreducingtheincidenceofcomplications,thetreatmentgroupwasbetterthanthecontrolgroup(P0.05).ConclusionTheeffectofDengzhanShengmaiCapsuleplusacupunctureonischemicwindstrokeintherecoverystageisconfirmedandtheincidenceofcomplicationsisless.KeyWordsDengzhanShengmaiCapsule(Erigeronbreviscapuscapsuleforwindstroke)；Acupuncturetherapy；Ischemicwindstroke；Bothqiandyindeficiencyaccompaniedwithbloodstasish-3rB%hB,Mnh?h,qaqa?qai#q+b1d9,hq75%,40%1bhV,CZ1aZm8a/a=J#1u5dZi?brt?C,13ib2008M12j2009M10,V35Oh60,C/b11.1诊断标准D#OSvSED057h$SxTFuhDarSv2uhOS(k)v|Y|3b5VC:&,g|,C,1p,H,%bDSc999cD2010M115111JournalofTraditionalChineseMedicine,2010,Vol.51,No.11v1995MDQS75%hpu75%h1v4b1.2纳入标准Dh；hN#CT/MRI_D7；*?s(NIHSSs)54j24s；M-35j75；ES&fib1.3排除标准hN,OQ?h-%s5(mRS)2s；(55)；aa5=a7；i#%h,aa/?,0?ah；(#o；FYTN5skb1.4一般资料46012DBD,(S,BvZEsFbF30,318,o12；M-50j70,(62.735.02)；(h(43.014.94)d；Ds(38.721.03)s；h30,3h12,Uh6bvF30,313,o17；M-49j69,(59.334.81)；(h(40.153.73)d；Ds(39.350.82)s；h25,3h9,Uh7bFYaM-ahya$hah1sd9il(P0.05),V1b2ZE2.1治疗方法vF(28q0zK3,|:H20046620)75mg,-,CB#$hbFN$FV35(23!V0K4,S03Z200263490)g,Q2,3Q；OZE:1j1.5j(TS/?ZK,|:NA3015),:ZaDawa1a!b/:tamaa3aH,mE,Q0.5hbF(21,6rb2.2观察指标及方法nullsY4F-*?s5,5r；nullD,4&ag|aaCa$h|a8!a,#H?3f,iDE69rq,rq=(-i)/-100%b4-i?fb2.3疗效评定标准ID5S:?sh91%j100%,h0)；A:?sh46%j90%,h1j3)；:?sh18%j45%；:?sh10%j18%；M:?sh10%；0:?sh9F18%b2.4统计学方法SPSS13.0d9sq,9null2_,9t_b3T3.1两组患者临床疗效比较F30,6,20.0%,A5,16.7%,5,16.7%,9,30.0%,M5,13.3%,00,9rq83.3%；vF30,4,13.3%,A5,16.7%,3,10.0%,10,33.3%,M8,26.7%,00,9rq73.3%bF1sd9il(P0.05),FrvFb3.2两组患者症状改善比较V1U,g|a#CZFrqvF(P0.05),$h|a8!a,#HZ,FAvF(P0.05)bV1Ff1F(30)-rqvF(30)-rq&29872.428871.4g|16756.3*201240.015940.0*191236.8C211242.9*151126.7$h|14471.4*151220.08!16568.7*11918.2,281257.4*221818.2H24675.0*21199.5:vF1,*P0.05,*P0.05),Fhi?ZvF1,sd9il(P0.05)bc1000cD2010M115111JournalofTraditionalChineseMedicine,2010,Vol.51,No.11V2F-i?f1(%)i?F(30)-vF(30)-Z15(16.7)3(10.0)4(13.3)3(10.0)Zm82(6.7)1(3.3)1(3.3)2(6.7)/1(3.3)002(6.7)=J001(3.3)1(3.3)1u1(3.3)0004)CD,4,qM/,3i/i?p,w,3s(T,CZ1a/a=Ji?,Y3ibyN,V?hi?,XDEbu2wcOv:oZ&,=,5,=,?jbp#n,a|,Rm!|bV35|V%m!|a#0F,a#a)|/aaa|T,0YVm|,!|.V7bC0AU7,V35rsVaXaX,VV970s,alal,iVb1,FV9bhnnu2wcOv,ov&Rp,o,p,oP|pbhU,O,#,Y,5bh?77L,8/L,s|m,=aYr,P8?vbAU8,?AMS,?Ph17mo9aFy,A7f,Fh1v7F%b54TAU,V35,VP5A,hi?C,4?3bID1.S75%h2M.:3,2007:388.2.hDarSJ.SD0,1986,1(2):56-57.3SED057h$xTF.hOS(k)J.D0v,1996,19(1):55.4SQ75hp.75%h1J.*S,1996,29(6):379.5SQ75hp.7A5*?sSJ.*S,1996,29(6):381.6S3.0055M.B.1993:35.7,Iy.V35v7#9YJ.0Q,2006,12(8):417.8,.CB6054J.SC0,2009,13(3):65.(l:2010-05-11；:2010-09-01)编辑:邓媛1xD4?a#Y07?KD0()D0?TBEVY7?wD0S/T,S/1,4/&,F4?,0a/a7?a+b7ZS=#uT,F1S=#uv8,.KS/b-Y0aDMiAE?,Oh,E,1,V7KvK?B7?,7?bPD0S/TyLCb0?Zz$b4/:1.7?wD0S/T,F4?,S/1,14S/&b2.7ZS=#uT,F1S=#uv8#,.KS/b3.xD#4Sb4