Objective To investigate the effect of Buyang Huanwu Decoction on therapeutic effect and blood rheology of patients with acute cerebral infarction. Methods 112 patients with acute cerebral infarction in our hospital from August 2010 to January 2011 were divided into the treatment group and the control group, each group had 56 cases. The control group was given neurology conventional treatment, the treatment group was given Buyang Huanwu Decoction on the basis of the control group, and two groups were compared with clinical effect, neurological function, daily life ability, carotid artery intima-media thickness (IMT) and carotid artery plaque area improvement and blood rheology improvement. Results Clinical effect, neurological function, daily life ability, activities of daily living, carotid artery IMT and carotid artery plaque area improvement in the treatment group were better than that of the control group (P < 0.05). Improvement of the blood rheology indices in the treatment group were significantly better than that of the control group (P < 0.05). Conclusion Buyang Huanwu Decoction can significantly improve the indexes of blood rheology, inhibit the plaque formation of brain infarction, and improve the treatment effect.%目的 探讨补阳还五汤对急性脑梗死患者的疗效及血液流变学指标的影响.方法将我院2010年8月~2011年1月收治的112例急性脑梗死患者按照入院顺序分为治疗组和对照组,每组各56例.对照组采用神经内科常规治疗,治疗组采用常规治疗加补阳还五汤,比较两组患者的疗效、神经功能、日常生活能力、颈动脉内膜-中层厚度(IMT)及颈动脉斑块面积的改善及血液流变的改善.结果治疗组的总有效率、神经功能缺损评分、日常生活能力、IMT及颈动脉斑块面积的改善显著优于对照组(P < 0.05).治疗组的血液流变学指标改善显著优于对照组(P < 0.05).结论补阳还五汤能显著改善急性脑梗死患者的血液流变学指标,可抑制脑梗死的斑块形成,提高治疗效果.
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