ObjectiveTo investigate the effects of adjuvant treatment of self-designed tongluo huoxue decoction on hemiplegia after acute ischemic stroke and its influence on balance function and living activity ability of patients. MethodsA total of 96 acute ischemic stroke patients with hemiplegia admitted to our hospital from October 2019 to October 2020 were enrolled and randomly divided into observation group and control group, with 48 cases in each group. The control group was given conventional treatment of acute ischemic stroke hemiplegia, based on which the observation group was supplemented with self-designed tongluo huoxue decoction, for an 8-week treatment course. The clinical efficacy was compared between the two groups. The scores of traditional Chinese medicine syndromes, balance function and living activity ability before and after treatment were compared between the two groups. ResultsAfter 8 weeks of treatment, the total effective rate of the observation group was higher than that of the control group (91.67% vs. 77.08%), with a statistically significant difference (P＜0.05). Before treatment, there were no statistically significant differences in the scores of traditional Chinese medicine syndromes between the two groups (P>0.05). After 8 weeks of treatment, the traditional Chinese medicine syndromes scores of the two groups decreased significantly, and the observation group yielded lower scores in comparison with the control group, with statistically significant differences (P＜0.05). Before treatment, there were no statistically significant differences on berg balance scale (BBS) and barthel index (BI) between the two groups (P＞0.05). After 8 weeks of treatment, the scores of BBS and BI in both groups increased significantly, and the observation group yielded higher scores in comparison with the control group, with statistically significant differences (P＜0.05). Before treatment, there were no statistically significant differences in relative cerebral blood flow (rCBF), relative cerebral blood volume (rCBV) and relative mean transmit time (rMTT) between the two groups (P＞0.05). After 8 weeks of treatment, rCBF and rCBV in both groups increased significantly, and the levels of observation group were significantly higher than those of the control group. The rMTT of the two groups shortened significantly, and the rMTT in the observation group was shorter significantly than that of the control group, with a statistically significant difference (P＜0.05). ConclusionThe self-designed tongluo huoxue decoction can prominently improve the clinical efficacy of acute ischemic stroke hemiplegia, improve the clinical symptoms of patients, promote the recovery of balance function and improve the ability of living activitiy of patients.

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