文档介绍：银杏心脑通胶囊治疗气虚血瘀中风恢复期的临床研究附录2已发表的论文..........................................................................................-37 -摘要-1 -中文摘要目的:本课题通过临床研究进一步证实银杏心脑通胶囊对中风恢复期(中医辨证属气虚血瘀证)的疗效及作用机理,运用益气养血,化瘀通络之法治疗中风恢复期(气虚血瘀证),为其提供一种疗效确切,无明显毒副作用,易于推广,经济实用的治疗药物,从而提高中风恢复期患者的临床治愈率,降低伤残率,达到改善症状,减轻患者痛苦之目的,从根本上改善病人的生活质量;并为银杏心脑通胶囊对中风恢复期(中医辨证属气虚血瘀证)的进一步推广应用提供临床依据。方法:本研究共观察中风恢复期气虚血瘀证患者72例,将符合标准的病例采用随机数字表来分为A组B组,A组36例,B组36例,再用执币法,确定A组为治疗组(银杏心脑通胶囊组),B组为对照组(步长脑心通胶囊组),两组均进行8周治疗,然后进行治疗前后观察NIHSS、BI指数及中医证候(主症、次症)变化,比较两组的治疗效果与不良反应情况。结果:①2组总疗效无统计学差异。银杏心脑通-脑心通率差单侧95%%,%,故2组总疗效无显著的统计学意义;②2组恢复期患者一中医证候比较比较,差异无统计学意义,说明2组对恢复期的疗效相似。结论:银杏心脑通组方严谨、服用方便、安全有效、无毒副作用,适用于缺血性中风恢复期的气虚血瘀型治疗,符合辨证论治理论。经过随机、阳性药平行对照,以及非劣效性分析,与脑心通胶囊相比,银杏心脑通胶囊治疗中风恢复期的总疗效相近。美国国立卫生研究院卒中量表(NIHSS),Barthel指数(BI)记分、中医证候的变化均无显著的统计学意义,表明银杏心脑通胶囊治疗中风恢复期(气虚血瘀证)有一定疗效,提高患者生存质量,减少不良反应的发生,临床疗效显著。有进一步深入研究、开发的价值。关键词:中风恢复期;气虚血瘀证;银杏心脑通;步长脑心通;临床研究银杏心脑通胶囊治疗气虚血瘀中风恢复期的临床研究-2 -Research the effect of Clinical study of "YinxingXinnaotong Capsule "in treating "qi xu xue yu"syndrome of stroke recovery periodZheng wuzhou(Internal medicine of Traditional Chinese Medicine)Directed by ChangxuehuiAbstractObjective:To observe the clinical effect of chinese and western medicine on treating"qi xu xue yu"syndrome of stroke recovery :72clinical cases according to the accepted standard were enrolled and divided into groups randomly: the treatment group (TG) 36 cases received YinxingXinnaotong Capsule,while the control group (CG) 36cases receivedBuchang Naoxintong groups are identical in other treatment aspects, resist depression treatment about the second week and the fourthweek and the eighty weekof treatment. The rating scales cuch as NIHSS,Ranki,TCM Syndromewere used to evaluate the symp-toms improvement and sides :Eight weeks later, no statistically significant differences between the 2 groups of total curative effect:( 1 ) 2 group was no signifi