Clinical Study On The Method Of Eliminating Phlegm Blood Stasisand And Relaxing Bowels To Treatment The Type Of Phlegm Blood Stasis And Bowel Excess In Recovery Period Of Ischemic Stroke

Objective:To observe the clinical effect and evaluate the safety of the method of eliminating phlegm-blood stasisand and relaxing bowels to treatment the type of phlegm Blood stasis and bowel excess in recovery period of ischemic strokeMethods:90 cases of patients with the type of phlegm blood stasis and bowel excess in the recovery period of i schemic stroke were ranomly divided into two groups,45 in each group.The patients in the control group were given routine treatment for apoplexy,high fiber diet,improvement of environment,psychological support,massage,defecation training,defecation intervention(with glycerine enema)were used for constipation,and soap water enema was used for those who had difficulty in defecating for three days.On the basis of the control group,the patients in the treatment group were given the self-made prescription with the method of eliminating phlegm-blood stasisand and relaxing bowels.The treatment period was 20 days.Before treatment and on the 20th day after treatment,the curative effects of the two groups were evaluated.The changes of TCM syndrome score,tongue coating,pulse condition,NHISS score,Barthel score,Modified Rankin score and constipation symptom score were observed and analyzed by statistical software.Results:The NIHSS score,Modified Rankin score,Barthel index,TCM syndrome score and constipation symptom of the two groups were analyzed.It was found that there was statistical significance between the two groups before and after treatment(P<0.05),indicating that the curative effect of the two treatments was exact.After treatment,the improved Rankin scale,NIHSS score and constipation symptom score were compared between the two groups(P<0.05),which showed that the therapeutic effect of the treatment group was significantly better than that of the control group.Barthel score between the two groups(P>0.05),the difference was not statistically significant,but further analysis of the treatment group improved Rankin score≤2 points(life completely independent of others),the number of patients was significantly higher than the control group,indicating that the recovery of daily living ability in the treatment group was better than that in the control group.In terms of the total clinical effect,the neurologic function effect improved significantly and the recovery rate of the treatment group and the control group was 88.89%and 60%,respectively,compared with the total clinical effect group(P<0.05);in terms of the curative effect of traditional Chinese medicine,the total effective rate of the treatment group and the control group was 97.78%and 62.22%,respectively,compared with the total clinical effect group(P<0.05),indicating that the curative effect of the treatment group was better than that of the control group.The safety indexes of the two groups were good,no adverse reactions.Conclusion:The patients in the treatment group were better than those in the control group in nerve function,ability of daily life,TCM symptoms and constipation.This method had good clinical effect.It demonstrated demonstrates the safety and effectiveness of the treatment based on the syndrome differentiation of eliminating phlegm blood stasisand and relaxing bowels in the recovery period.