中华灾害救援医学2025，Vol.12Issue(10)：1176-1180,5.DOI:10.13919/j.issn.2095-6274.ZHJY202508032
补阳还五汤治疗急性脑梗死并发脑心综合征的临床疗效研究
Clinical Efficacy of Buyang Huanwu Decoction in Treating Acute Cerebral Infarction Complicated with Brain-Heart Syndrome
摘要
Abstract
Objective To investigate the clinical efficacy of Buyang Huanwu Decoction combined with standard Western medicine in the treatment of acute cerebral infarction complicated with brain-heart syndrome.Methods Sev-enty-two patients with acute cerebral infarction complicated with brain-heart syndrome admitted to our hospital from June 2022 to January 2025 were selected and randomly divided into an observation group and a control group,with 36 cases in each group.The control group received conventional Western medicine treatment(including improving cerebral circu-lation,neurotrophy,antiplatelet aggregation,and controlling blood pressure and blood glucose).The observation group received oral Buyang Huanwu Decoction in addition to the control group's treatment.The treatment course for both groups was 14 days.The National Institutes of Health Stroke Scale(NIHSS)score,incidence of arrhythmia,levels of myocardial enzymes(CK,CK-MB,LDH),rate of ECG ST-T segment changes,and total clinical effective rate were compared be-tween the two groups before and after treatment.Results After treatment,the NIHSS score in the observation group was significantly lower than that in the control group,and the difference was statistically significant P<0.001).The inci-dence of arrhythmia in the observation group was lower than that in the control group(11.11%vs.27.78%,P=0.041),and the difference was statistically significant.The levels of myocardial enzymes(CK,CK-MB,LDH)and the abnormal rate of ST-T segments in the observation group were significantly lower than those in the control group,and the differences were statistically significant(P<0.05).The total clinical effective rate in the observation group was significantly higher than that in the control group(94.44%vs.72.22%,P=0.007),and the difference was statistically significant.Conclusion Based on conventional Western medicine treatment,the combined application of Buyang Huanwu Decoction can more effectively improve neurological function,reduce myocardial injury,and lower the risk of arrhythmia in patients with acute cerebral infarction complicated with brain-heart syndrome.关键词
补阳还五汤/急性脑梗死并发脑心综合征/临床疗效Key words
buyang huanwu decoction/acute cerebral infarction complicated with brain-heart syndrome/clinical efficacy/neurological function/arrhythmia/st-t segment changes引用本文复制引用
孙宏燕,贾岩,朱剑,王小笛,费志敏..补阳还五汤治疗急性脑梗死并发脑心综合征的临床疗效研究[J].中华灾害救援医学,2025,12(10):1176-1180,5.基金项目
河北省中医药管理局科研计划项目(2024437) （2024437）
