ISSN 2097-5724 CN 61-1535/R 主管·主办:陕西省疾病预防控制中心
疾 疾病预防与控制 Disease Prevention and Control 医学学术期刊 月刊
2026-06-056 中医学研究 2026, 2(06): 221-224

瘫痪康复汤对气虚血瘀缺血性中风恢复期的疗效分析

太原和平医院

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摘要

目的 评估瘫痪康复汤治疗以气虚血瘀为主要辨证的缺血性中风恢复期患者的临床效果。方法 选取2021年9月至2025年9月期间于本院就诊的138例符合气虚血瘀证候的缺血性中风恢复期患者,按随机数字表法分为两组,各69例。对照组采用常规西医治疗,观察组在对照组基础上加用瘫痪康复汤口服治疗,治疗期间,比较两组患者神经功能、生活质量、肢体运动功能以及中医证候积分及生活能力,并记录不良反应发生情况。结果 治疗结束后,观察组的美国国立卫生研究院神经功能缺损评分量表(NIHSS)评分低于对照组,脑卒中专用生活质量量表(SS-QOL)评分则明显更高,差异均具统计学意义(P<0.05);在中医证候及肢体运动功能改善方面,观察组中医证候积分低于对照组,肢体功能评分高于对照组(P<0.05);观察组的日常生活能力评分(ADL)高于对照组(P<0.05);两组患者在治疗过程中的不良反应总发生率相近,差异无统计学意义(P>0.05)。结论 瘫痪康复汤有助于改善气虚血瘀型缺血性中风恢复期患者的神经功能、肢体运动功能与生活质量,可有效减轻神经缺损症状,缓解相关临床表现,治疗过程中安全性良好,具备较好的临床适用性。

Abstract

Objective To evaluate the clinical efficacy of the Paralysis Rehabilitation Decoction in treating patients with ischemic stroke in the recovery period who have the main syndrome of qi deficiency and blood stasis. Methods From September 2021 to September 2025, 138 patients with ischemic stroke in the recovery period who met the syndrome of qi deficiency and blood stasis were selected and randomly divided into two groups, with 69 cases in each group. The control group received conventional western medical treatment, while the observation group received the Paralysis Rehabilitation Decoction orally in addition to the treatment of the control group. During the treatment period, the neurological function, quality of life, limb movement function, and TCM syndrome scores as well as the living ability of the two groups of patients were compared, and the occurrence of adverse reactions was recorded. Results After treatment, the National Institutes of Health Stroke Scale(NIHSS) score of the observation group was lower than that of the control group, and the Stroke-Specific Quality of Life Scale(SS-QOL) score was significantly higher, and the differences were statistically significant(P<0.05). In terms of TCM syndrome and limb movement function improvement, the scores of the observation group were lower than those of the control group, and the limb function scores were higher than those of the control group(P<0.05). The Activities of Daily Living(ADL) score of the observation group was higher than that of the control group(P<0.05). The total incidence of adverse reactions during the treatment process of the two groups was similar, and the difference was not statistically significant(P>0.05). Conclusion The Paralysis Rehabilitation Decoction is helpful in improving the neurological function, limb movement function and quality of life of patients with ischemic stroke in the recovery period with qi deficiency and blood stasis syndrome. It can effectively alleviate neurological deficit symptoms and related clinical manifestations. The treatment process is safe and has good clinical applicability.

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[1]任雅琳.瘫痪康复汤对气虚血瘀缺血性中风恢复期的疗效分析[J].疾病预防与控制,2026,2(06):221-224.