CAJ | 학술논문

目的：观察易通汤对气虚血瘀型缺血性卒中患者神经功能缺损的改善作用。方法将66例患者随机分为2组，对照组32例，以口服拜阿司匹林肠溶片为主治疗，配合静脉滴注活血化瘀、改善循环及营养脑神经药物等常规治疗；治疗组34例，在对照组治疗基础上加服自拟易通汤治疗。2组均以14 d为1个疗程，治疗2个疗程。观察2组治疗前后神经功能缺损程度评分变化及不良反应，并评定疗效。结果治疗组总有效率94．17％，对照组总有效率84．37％，2组比较差异有统计学意义（P＜0．05），治疗组疗效优于对照组；2组治疗后神经功能缺损程度评分均减少（P＜0．05），且治疗组与对照组比较减少显著（P＜0．05）；2组均无明显不良反应。结论易通汤改善气虚血瘀型缺血性卒中患者神经功能缺损疗效确切。
목적：관찰역통탕대기허혈어형결혈성졸중환자신경공능결손적개선작용。방법장66례환자수궤분위2조，대조조32례，이구복배아사필림장용편위주치료，배합정맥적주활혈화어、개선순배급영양뇌신경약물등상규치료；치료조34례，재대조조치료기출상가복자의역통탕치료。2조균이14 d위1개료정，치료2개료정。관찰2조치료전후신경공능결손정도평분변화급불량반응，병평정료효。결과치료조총유효솔94．17％，대조조총유효솔84．37％，2조비교차이유통계학의의（P＜0．05），치료조료효우우대조조；2조치료후신경공능결손정도평분균감소（P＜0．05），차치료조여대조조비교감소현저（P＜0．05）；2조균무명현불량반응。결론역통탕개선기허혈어형결혈성졸중환자신경공능결손료효학절。
Objective To observe the improvement effect of Yitongtang on neurologic impairment of ische-mic stroke patients with qi deficiency and blood stasis.Me thods 66 ischemic stroke patients were randomly divided into two groups.Control group received aspirin enteric-coated tablets combined with conventional therapy including invigorating the circulation of blood, improving circulation and cranial nerve nutrition liquid.Treatment group ( n=34) received Yitongtang treatment on the basis of control group treatment.The course was 14 days in two groups.After two courses the changes of nerve deficiency scale before and after treatment were observed.Results The total effec-tive rate in treatment group (94.17%) was higher than that in control group (84.37%, P<0.05).The results re-vealed that the clinical nerve deficiency scale in the treatment group was much lower than that in the control group (P<0.05).There was no obvious adverse reaction in two groups.Conclusion Yitongtang has definite effect on the improvement of neurologic impairment of ischemic stroke patients with qi deficiency and blood stasis.