| Objective: This study mainly analyzes the efficacy of the stroke No.1 prescription prepared by Rao Wangfu famous old Chinese medicine practitioner by observing the changes of TCM syndrome score,BI scale score and NIHSS score before and after treatment in two groups of patients recovering from cerebral infarction,so as to summarize clinical experience and conclude whether stroke No.1 To a certain degree,the signs of those recuperating from cerebral infarction may be enhanced..Methods: 60 patients with cerebral infarction in convalescent stage(syndrome differentiation of traditional Chinese medicine is wind-phlegm type)who were treated at the Guoyitang Clinic of Jiangxi Provincial Hospital of Traditional Chinese Medicine from September 2020 to December 2022 were collected,and the 60 patients were randomly divided into experimental group and control group,with 30 patients in each group.Both groups were treated with conventional western medicine,while the experimental group was treated with Stroke No.1 on the basis of conventional western medicine.One dose per day of No.1 prescription for apoplexy,taken twice in the morning and evening;The duration of treatment weeks for both groups was 2 weeks.After 2 weeks,the two groups of patients were evaluated with TCM syndrome score,BI scale score and NIHSS scale respectively,and the difference of curative effect between the two groups and before and after treatment was compared.Import all data results into SPSS21.0.software for statistical processing,and finally evaluate the clinical efficacy of Stroke No.1prescription by analyzing and comparing the statistical results.Results:(1)In terms of general situation: The general information of the two groups of patients who have completed the statistics,such as gender,age,past medical history,and course of disease,was imported into SPSS software for data analysis.After statistical methods testing,the results showed that the gender,age,past medical history,and course of disease of the experimental group and the control group were all P>0.05,and there was no significant difference in statistics,indicating that the two groups of patients were comparable.(2)TCM syndrome score: according to the statistical data analysis,the TCM syndrome score of the two groups of patients before and after treatment does not follow the normal distribution,so the nonparametric rank sum test is adopted.By comparing the TCM symptom score data of the experimental group and the control group before treatment,the test results showed that Z=-0.66,P=0.51(P>0.05),there was no statistical difference,indicating that the TCM symptom score of the experimental group and the control group were comparable;Compared with the data of TCM syndrome score after treatment in the experimental group and the control group,the test showed that z=-2.69,P=0.01(P<0.05),indicating that the experimental group was better than the control group in improving the efficacy of TCM syndrome score;By comparing the TCM syndrome integral data of the patients in the experimental group before and after treatment,and the patients in the control group before and after treatment,it was found that P<0.05,indicating that the TCM syndrome integral of the patients in the experimental group before and after treatment and the patients in the control group before and after treatment had significant statistical differences.(3)BI scale score: according to the statistical data analysis,the BI scale scores of the two groups of patients before and after treatment do not follow the normal distribution,so the nonparametric rank sum test is used.Compared with the BI score data of the experimental group and the control group before treatment,the test showed that Z=-0.36,P=0.72(P>0.05),there was no statistical difference,indicating that the BI score data of the experimental group and the control group were comparable;Comparing the BI score data of the experimental group and the control group after treatment,the test showed that z=-2.54,P=0.01(P<0.05),indicating that the experimental group was better than the control group in improving the BI score;By comparing the BI score data of the patients in the experimental group before and after treatment,and the patients in the control group before and after treatment,it was found that P<0.05,indicating that there was significant statistical difference between the BI scale scores of the patients in the experimental group before and after treatment and the patients in the control group before and after treatment.(4)NIHSS score: according to the statistical data analysis,the NIHSS score values of the two groups of patients before and after treatment do not follow the normal distribution,so the nonparametric rank sum test is used.Compared with the NIHSS score data of the experimental group and the control group before treatment,the test showed that Z=-0.28,P=0.78(P>0.05),there was no statistical difference,indicating that the NIHSS score data of the experimental group and the control group were comparable;Compared with the NIHSS score data of the experimental group and the control group after treatment,the test showed that z=-2.26,P=0.02(P<0.05),indicating that the experimental group was better than the control group in improving the NIHSS score;By comparing the NIHSS score data of the patients in the experimental group before and after treatment,and the patients in the control group before and after treatment,it was found that P<0.05,indicating that the NIHSS score of the patients in the experimental group before and after treatment and the patients in the control group before and after treatment had significant statistical differences.(5)In terms of the efficacy of traditional Chinese medicine(TCM)symptoms:According to the TCM symptom efficacy scoring standards,the number of people who have recovered,significantly improved,effectively,and ineffectively,as well as the effective rate,were counted for the two groups.The data were imported into SPSS software and non parametric rank sum test was conducted,and P<0.05 was obtained.This indicates that after treatment,there is a statistical difference in the TCM symptom effective rate between the experimental group and the control group,indicating that the TCM symptom efficacy of the experimental group is better than that of the control group.The experimental group had the best therapeutic effect from 2 weeks to 1 month,followed by 1 month to 3 months,and the worst therapeutic effect from 3 months to 6 months;The control group had the best therapeutic effect when the disease course was between 2weeks and 1 month,and there was no significant difference in therapeutic effect between1 month to 3 months and 3 months to 6 months;The therapeutic effect of the experimental group during the recovery period was better than that of the control group,with the best therapeutic effect ranging from 2 weeks to 1 month.Conclusion: Rao Wangfu,a famous Chinese doctor,has developed the "Stroke No.1" formula in combination with conventional treatment,which can improve the TCM syndrome score,BI scale score and NIHSS score of patients with cerebral infarction in the recovery period more than single conventional drug treatment. |
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