蔡翠珠王 磊指导：刘德喜(海南省三亚市中医院内五科，三亚，57000；解放军第9474部队医院，三亚，57003)

    养阴通络汤联合穴位注射治疗阴虚风动型脑梗死的临床观察

    蔡翠珠1王 磊2指导：刘德喜

    (1海南省三亚市中医院内五科，三亚，572000；2解放军第92474部队医院，三亚，572003)

    摘要目的：观察养阴通络汤联合穴位注射治疗阴虚风动型脑梗死的临床疗效。方法：将60例阴虚风动型脑梗死患者随机分为治疗组和对照组各30例。对照组采用穴位注射及常规西药治疗，治疗组在穴位注射及常规西药治疗基础上加用养阴通络汤(龟甲、鳖甲、枸杞子、桑寄生、菊花、生地黄、牡丹皮、丹参、郁金、当归尾、川芎、红花、桃仁、蜈蚣、地龙、全蝎、白芍、桑叶、牛膝)治疗，共治疗4周。观察2组临床疗效及治疗前后神经功能缺损程度评分(National Institute of Health Stroke Scale，NIHSS)、日常生活活动能力(Activities of Daily Living，ADL)指数评分及血脂、血清半胱氨酸的变化。结果：1)经4周治疗，2组均可降低NIHSS评分，提高ADL指数评分(P<0. 01)，且治疗组的改善程度均优于对照组(P<0. 01)；2)治疗后，治疗组的各项指标均改善(P<0. 01)，而对照组各项指标治疗前后均无明显改变(P>0. 05)。结论：阴通络汤联合穴位注射治疗阴虚风动型脑梗死疗效确切，其疗效优于对照组。

    关键词养阴通络汤；穴位注射；脑梗死；临床观察

    Clinical Observation of Yangyin Tongluo Decoction Combined with Acupoint Injection in Treatment of Yin Deficiency Syndrome in Cerebral Infarction Cases

    Cai Cuizhu1，Wang Lei2，Liu Dexi1

    (1 Fifth Internal Medicine Department of Chinese Medicine Hospital in Sanya City in Hainan Province，San Ya 572000，China；2 PLA 92474th Army Hospital，Sanya 572003，China)

    Abstract Objective：To observe the clinical efficacy of Yangyin Tongluo Decoction combined with acupoint injection in the treatment of cerebral infarction cases. Methods：Cerebral infarction patients with yin deficiency syndrome of 60 cases were randomly divided into treatment group and control group ......