[1]刘 星,许亮平.脑梗死患者采用补阳还五汤加减配合注射用血栓通治疗的临床价值及对神经功能康复的影响[J].医学信息,2026,39(10):165-168.[doi:10.3969/j.issn.1006-1959.2026.10.031]
　LIU Xing,XU Liangping.Clinical Value of Modified Buyang Huanwu Decoction Combined with Xueshuantong Injection in the Treatment of Cerebral Infarction Patients and its Effect on Neurological Rehabilitation[J].Journal of Medical Information,2026,39(10):165-168.[doi:10.3969/j.issn.1006-1959.2026.10.031]
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脑梗死患者采用补阳还五汤加减配合注射用血栓通治疗的临床价值及对神经功能康复的影响()

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
39卷
期数:
2026年10期
页码:
165-168
栏目:
临床证据信息
出版日期:
2026-05-15

文章信息/Info

Title:
Clinical Value of Modified Buyang Huanwu Decoction Combined with Xueshuantong Injection in the Treatment of Cerebral Infarction Patients and its Effect on Neurological Rehabilitation
文章编号:
1006-1959（2026）10-0165-04
作者:
刘 星1; 许亮平2
万年县中医院内三科1，内二科2，江西 万年 335500
Author(s):
LIU Xing1;  XU Liangping2
The Third Department of Internal Medicine1, the Second Department of Internal Medicine2, Wannian County TraditionalChinese Medicine Hospital, Wannian 335500, Jiangxi, China
关键词:
脑梗死; 补阳还五汤; 血栓通; 神经功能
Keywords:
Cerebral infarction;  Buyang Huanwu decoction;  Xueshuantong;  Neurological function
分类号:
R277.7
DOI:
10.3969/j.issn.1006-1959.2026.10.031
文献标志码:
A
摘要:
目的 分析补阳还五汤加减配合注射用血栓通治疗脑梗死患者的临床价值及对神经功能康复的影响。方法 选取2022年9月-2024年9月我院接诊的60例脑梗死患者，采用Excel随机RAND函数法分为对照组和观察组，各组30例。对照组给予注射用血栓通治疗，观察组注射液用血栓通+补阳还五汤加减治疗，对比两组患者治疗总有效率、脑血流动力学指标[平均血流速度（Vm）、平均血流量（Qm）、动态阻力（DR）]、中医证候积分、神经功能缺损（NIHSS）评分、肢体运动能力（FMA）评分、不良反应发生率。结果 与对照组比较，观察组获得了较高的治疗总有效率（P＜0.05）；观察组治疗后Vm、Qm大于对照组，DR小于对照组，中医证候积分、NIHSS评分低于对照组，FMA评分高于对照组（P＜0.05）；两组不良反应发生率比较无统计学差异（P＞0.05）。结论 采用补阳还五汤加减+注射用血栓通治疗脑梗死对患者神经功能康复具有积极的影响，可减轻神经功能缺损和中医证候，促进肢体运动功能恢复，改善脑血流动力学指标，且应用安全性良好。
Abstract:
Objective To analyze the clinical value of modified Buyang Huanwu decoction combined with Xueshuantong injection in the treatment of patients with cerebral infarction and its effect on neurological rehabilitation. Methods Sixty patients with cerebral infarction who were admitted to our hospital from September 2022 to September 2024 were selected as the research objects. Using Excel random RAND function method, they were randomly allocated into control group and observation group, with 30 patients in each group. The control group received Xueshuantong injection, and the observation group received Xueshuantong injection+modified Buyang Huanwu decoction. The total effective rate, cerebral hemodynamic indexes [mean blood flow velocity (Vm), mean blood flow (Qm), dynamic resistance (DR)], TCM syndrome score, neurological deficit (NIHSS) score, limb motor ability (FMA) score, and incidence of adverse reactions of the two groups were compared. Results Compared to the control group, the observation group had higher the total effective rate of treatment (P<0.05). In the observation group, patients had higher Vm and Qm, lower DR, and lower scores on TCM syndromes and NIHSS, higher FMA score compared to the control group (P<0.05). The two groups showed no statistically significant difference in the incidence of adverse reactions (P>0.05). Conclusion Modified Buyang Huanwu decoction+Xueshuantong injection has a positive effect on the rehabilitation of neurological function in patients with cerebral infarction, which can reduce neurological deficits and TCM syndromes, promote the recovery of limb motor function, improve cerebral hemodynamics, and has good application safety.

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更新日期/Last Update: 1900-01-01