摘要
目的 分析温胆汤加减方对脑卒中后遗症期患者神经功能恢复的临床效果。方法 选取郁南县人民医院康复科2024年10月至2025年12月期间符合标准的80例脑卒中后遗症患者随机分为观察组与对照组。对照组行西医基础治疗及康复训练，观察组在对照组基础上联合温胆汤加减治疗。结果 治疗后，观察组患者的NIHSS、痰热证候总分及核心症状评分明显低于对照组，且观察组患者MBI及FMA评分显著高于对照组，差异有统计学意义（P<0.05）。结论 温胆汤加减联合常规疗法能够有效促进脑卒中后遗症患者的神经功能恢复，并显著改善其痰热证候，体现了中西医结合在卒中后康复中的协同价值。
关键词： 脑卒中后遗症；温胆汤；神经功能恢复；痰热证；中西医结合疗法
Abstract
Objective To analyze the clinical effect of modified Wendan Decoction on the recovery of neurological function in patients with sequelae of stroke. Methods Eighty patients with sequelae of stroke who met the criteria in the Rehabilitation Department of Yunan County People's Hospital from October 2024 to December 2025 were randomly divided into the observation group and the control group. The control group received basic Western medical treatment and rehabilitation training, while the observation group was treated with modified Wendan Decoction on the basis of the control group. Results After treatment, the NIHSS, total score of phlegm-heat syndrome and core symptom score of the observation group were significantly lower than those of the control group, and the MBI and FMA scores of the observation group were significantly higher than those of the control group, with statistically significant differences (P<0.05). Conclusion The modified Wendan Decoction combined with conventional therapy can effectively promote the recovery of neurological function in patients with sequelae of stroke and significantly improve their phlegm-heat syndrome, demonstrating the synergistic value of integrating traditional Chinese and Western medicine in post-stroke rehabilitation.
Key words： Stroke sequelae; Wendan Decoction; Recovery of neurological function; Phlegm-heat syndrome; Integrated Chinese and western medicine therapy
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