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目的：观察运用补肾活血化瘀法治疗缺血性脑卒中后颈动脉斑块颈动脉粥样硬化斑块的临床疗效。方法脑梗塞急性期后有颈动脉斑块患者60例分为治疗组A（软脉化斑汤+常规西药治疗）和对照组B（常规西药治疗），疗程24周。结果 A、B组患者颈动脉IMT、颈动脉粥样硬化斑块Crouse积分、临床症状均获得改善。其中在IMT、颈动脉粥样硬化斑块Crouse积分、改善临床症状方面， A组治疗效果比B组优越（P<0.05）。结论补肾活血化瘀法（软脉化斑汤）联合他汀类药物对缺血性脑卒中后的颈动脉斑块，具有稳定斑块抗动脉粥样硬化的作用，联合用药疗效优于单纯他汀治疗。“,”Objective:To observe the clinical curative effect of kidney and promoting blood circulation to remove blood stasis in treating ischemic stroke after carotid artery plaque of carotid atherosclerotic plaque by. Methods:60 cases of carotid plaques in patients with acute cerebral infarction after cerebral infarction were divided into treatment group A(soft spot Soup + conventional western medicine treatment)and control group B(conventional western medicine treatment), 24 weeks of treatment. Results:A,B group of patients with carotid IMT,carotid atherosclerotic plaque Crouse score, clinical symptoms were improved. Among them,IMT,carotid atherosclerotic plaque Crouse points,improve clinical symptoms, A group treatment than the B group is superior(P<0.05). Conclusion:Invigorating the kidney and promoting blood circulation and removing blood stasis(Ruanmai huaban Decoction)combined with statin drugs of ischemic stroke after carotid artery plaque,with anti atherosclerotic plaque stability and efficacy of combination therapy is superior to single statin treatment.