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Effect of Tongfu Tongluo Kaiqiao Decoction combined with Rosuvastatin on hemorheology in patients with cerebral infarction at the recovery stage |
LI Lian-ying LI Ai-min ZENG Ji-chao |
The Third Department of Internal Medicine,Yangjiang Hospital of Traditional Chinese Medicine,Guangdong Province,Yangjiang 529500,China |
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Abstract Objective To investigate the effect of traditional Chinese medicine (TCM) Tongfu Tongluo Kaiqiao Decoction combined with Rosuvastatin in the treatment of patients with cerebral infarction at the recovery stage and its influence on hemorheological indexes.Methods A total of 120 patients with cerebral infarction in recovery period admitted to Yangjiang Hospital of Traditional Chinese Medicine from January 2017 to June 2019 were selected as subjects and divided into the study group and the control group by the random number table method,with 60 cases in each group.Both groups were given basic treatment + Rosuvastatin.Patients in the study group were added with TCM Tongfu Tongluo Kaiqiao Decoction.Patients in both groups were treated continuously for 4 weeks.The blood lipid indexes,hemorheological indexes,the National Institutes of Health stroke scale (NIHSS) scores,and the recovery of limb motor function of the two groups before and after treatment were compared.Results Before treatment,there were no significant differences in serum triglyceride (TG),total cholesterol (TC),high density lipoprotein cholesterol (HDL-C) and low density lipoprotein cholesterol (LDL-C) levels between two groups (P>0.05).After treatment,the levels of serum TG,TC and LDL-C in the study group were lower than those in the control group,with statistically significant differences (P<0.05).Before treatment,there were no significant differences in plasma viscosity,low-cut whole blood viscosity,highcut whole blood viscosity,or hematocrit between two groups (P>0.05).After treatment,the plasma viscosity,low-cut whole blood viscosity,high-cut whole blood viscosity,and hematocrit in the study group were all lower than those in the control group,with statistically significant differences(P<0.05).Before treatment,there were no significant differences in NIHSS score and Fugl-Meyer exercise rating scale (Fugl-meyer) score between two groups (P>0.05).After treatment,the NIHSS score of the study group was lower than that of the control group,the difference was statistically significant (P<0.05).After treatment,Fugl-Meyer score in the study group was higher than that in the control group,and the difference was statistically significant (P<0.05).Conclusion TCM Tongfu Tongluo Kaiqiao Decoction combined with Rosuvastatin in the treatment of patients with cerebral infarction at the recovery stage can effectively improve hemorheological indexes and promote the recovery of patients′ nerve and limb motor functions.
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[1] |
刘卫花,王家艳,燕垚旬,等.血尿酸及血脂检测应用于老年冠心病合并脑梗死患者的临床价值[J].中国老年学杂志,2019,39(15):3605-3608.
|
[2] |
Abdelrasoul AA,Elsebaie NA,Gamaleldin OA,et al.Imaging of Brain Infarctions:Beyond the Usual Territories[J].J Comput Assist Tomogr,2019,43(3):443-451.
|
[3] |
劳祎林,吴林,伍媛,等.中医药疗法应用于脑梗死恢复期的研究进展[J].广西医学,2019,41(16):2102-2104.
|
[4] |
张亦凡,薛福平.补阳还五汤对进展型脑梗死病人急性期及恢复期的疗效观察[J].中西医结合心脑血管病杂志,2018,16(15):2236-2238.
|
[5] |
中华医学会神经病学分会,中华医学会神经病学分会脑血管病学组.中国急性缺血性脑卒中诊治指南2014[J].中华神经科杂志,2015,48(4):246-257.
|
[6] |
李平,吴钟璇,张云如,等.中风病诊断与疗效评定标准(试行)[J].北京中医药大学学报,1996,19(1):55-56.
|
[7] |
吴亚武,王志辉,李剑,等.急性大动脉粥样硬化型脑梗死早期神经功能恶化与血脂水平的关系[J].解放军预防医学杂志,2019,37(7):122-123.
|
[8] |
闵彬,郭莉,郭春霞,等.瑞舒伐他汀联合氯吡格雷对急性脑梗死患者血脂水平、血液流变学及神经功能的效果分析[J].临床和实验医学杂志,2019,18(20):2196-2200.
|
[9] |
周华勇,杨旭,杜鑫,等.瑞舒伐他汀与阿托伐他汀强化降脂治疗急性脑梗死临床效果比较[J].实用医院临床杂志,2019,16(6):136-138.
|
[10] |
吴凡,田立茹,刘桐伊,等.缺血性中风中医证候演变与中风复发关系研究[J].现代中西医结合杂志,2019,28(16):1715-1718,1723.
|
[11] |
房涛,王歌文,赵佳华.补阳还五汤对脑梗死恢复期患者血清IGF-1 水平及认知功能的影响[J].海南医学,2019,30(23):3027-3029.
|
[12] |
姜元安,张清苓.论三承气汤之功能与运用[J].环球中医药,2019,12(7):1057-1058.
|
[13] |
孔勇,王莹,刘海超,等.通络化瘀方对脑梗死恢复期患者神经功能缺损、脑血流、生存质量的影响[J].环球中医药,2019,12(8):1275-1278.
|
[14] |
杨海燕,杨克勤,孙永康,等.基于数据挖掘的王新志治疗脑梗死恢复期用药规律研究[J].中国中医药信息杂志,2019,26(2):106-109.
|
[15] |
武扬,赵晓华,王佳莺,等.复元通络汤对脑梗死恢复期(气虚血瘀证)的临床研究[J].中国中医急症,2020,29(1):83-86.
|
[16] |
许磊,屈文涛,张拓伟.豁痰宣痹通脉方对脑梗死恢复期合并颈动脉粥样硬化患者超声检测指标和凝血功能的影响[J].现代中西医结合杂志,2019,28(27):3036-3039.
|
[17] |
王卫.益气化瘀剔络方联合氯吡格雷对老年脑梗死恢复期病人凝血功能及血清神经因子水平的影响[J].中西医结合心脑血管病杂志,2019,17(13):1942-1946.
|
[18] |
刘万里,冯艳,张杰.益气养阴祛瘀汤配合针刺对脑梗死恢复期患者血清同型半胱氨酸水平与凝血功能的影响[J].国际中医中药杂志,2019,41(2):115-119.
|
|
|
|