Clinical Study On The Treatment Of Phlegm And Heat In The Acute Stage Of Apoplexy By The Method Of Tongfu Xiezhuo Kaiqiao

Objectives In order to improve the ability of daily life and alleviate the suffering of patients with apoplexy,the method of Tongfu Xiezhuo Kaiqiao was used to treat the phlegm and heat of apoplexy in order to improve the ability of daily life and broaden the thinking of treating apoplexy.Methods 60 cases of patients with phlegm,heat and phlegm during the acute phase of apoplexy were selected from February 2017 to December 2017.Two groups were divided into control group and observation group by random number table method.30 cases in each group.Both groups were treated with conventional western medicine,such as antiplatelet aggregation,anticoagulant and anticoagulant and descending fibrinolysis and neuroprotection.The control group was appropriately treated with casserole contralateral treatment according to the condition.The observation group was treated by turbidity drainage and osmosis,and the compound dacheng qi decoction was used to enema.The course of treatment is 14 days.Observe two groups before and after the treatment of blood lipid(total cholesterol,triglyceride and low density lipoprotein cholesterol),C-reactive protein homocysteine laboratory indexes such as the national institutes of health stroke scale score and TCM symptoms integral pap index rating scale to improve the situation.To evaluate the clinical efficacy of the two groups.SPSS19.0 was used for data analysis.The counting data is represented by frequency,and χ2 test is selected for analysis.Measurement data to mean± standard deviation(?x±s)said,t test was used to compare the data with normal distribution;nonconformance data selected rank sum test.Rank sum test is used for rank data.P<0.05 was considered statistically significant.Finally,the result is analyzed and the conclusion is drawn.Results After the treatment,control group and observation group of blood lipid(total cholesterol,triglyceride and low density lipoprotein cholesterol),C-reactive protein homocysteine and TCM symptoms integral,NIHSS score,BI score were improved.The difference between the two groups before and after treatment was statistically significant(P<0.05).It was confirmed that both groups had certain curative effect on acute phlegm and zang-fu during stroke.1)Comparison of laboratory indicators: Comparison of total cholesterol triglycerides c-reactive protein between control group and observation group after treatment was not statistically significant(P>0.05).The difference of LDL cholesterol and homocysteine between the two groups after treatment was statistically significant(P<0.05),and the improvement of the observation group was better than that of the control group.2)Comparison of TCM symptom score: There was a statistically significant difference between the two groups after treatment(P<0.05),and the improvement of TCM symptom score in the observation group was better than that in the control group.3)Comparison of NIHSS score: There was a statistically significant difference between the two groups after treatment(P<0.05),and the improvement of NIHSS score in the observation group was better than that in the control group.4)Comparison of BI score: There was a statistically significant difference between the two groups after treatment(P<0.05),and the improvement of BI score in the observation group after treatment was better than that in the control group.5)Comparison of the curative effect of stroke: After treatment,the total effective rate of the control group was 86.7%,and the total effective rate of the observation group was 93.3%.The observation group had better effect than the control group.Conclusions 1)The levels of total cholesterol,triglyceride,LDL cholesterol,C-reactive protein and homocysteine decreased significantly in the observation group.And the improvement of LDL cholesterol and homocysteine was more obvious than that in control group.2)The symptoms of TCM syndrome in the observation group were better than those in control group,which showed that the method can reduce the clinical symptom of patients with acute phlegm-heat syndrome and improve the quality of life.3)In the observation group,the score of NIHSS and BI was more significant than that in the control group,and it was suggested that using the method of relieving dampness and resuscitation could reduce the degree of neurological function of patients with acute phlegm-heat syndrome and improve their daily activity ability.