首页|血府逐瘀汤联合法舒地尔对下肢动脉硬化闭塞症足背动脉血流量、间歇性跛行距离及6-酮-前列腺素F1α水平的影响

血府逐瘀汤联合法舒地尔对下肢动脉硬化闭塞症足背动脉血流量、间歇性跛行距离及6-酮-前列腺素F1α水平的影响

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目的 探究血府逐瘀汤联合法舒地尔对下肢动脉硬化闭塞症(ASO)病人足背动脉血流量、间歇性跛行距离及6-酮-前列腺素F1α(6-keto-PGF1α)水平的影响。方法 纳入2017年1月至2022年6月石家庄市中医院接收的90例下肢ASO病人为研究对象,采用随机数字表法划分为对照组(45例,法舒地尔治疗)与治疗组(45例,法舒地尔+血府逐瘀汤加减治疗)。对比两组临床疗效、足背动脉血流量、间歇性跛行距离及血清6-keto-PGF1α水平。结果 治疗组总有效率为93。33%,高于对照组的75。56%(P<0。05)。治疗后,两组间歇性跛行积分较治疗前下降,治疗组下降更明显(P<0。05)。治疗后,两组血清6-keto-PGF1α水平、跛行距离均较治疗前增加,治疗组增加更明显(P<0。05)。治疗后,两组血管内径、血管峰值流速、血流量均显著改善,治疗组明显优于对照组(P<0。05)。结论 血府逐瘀汤加减联合法舒地尔治疗下肢ASO,安全性较好,可改善足背动脉血流量、间歇性跛行距离与6-keto-PGF1α水平。
Influences of Xuefu Zhuyu decoction combined with fasudil on blood flow of dorsalis pedis artery,intermittent claudication distance and 6-keto-PGF1α level in patients with lower extremity arteriosclerosis obliterans
Objective To investigate the influences of Xuefu Zhuyu decoction combined with fasudil on blood flow of dorsalis pedis artery,intermittent claudication distance and 6-keto-prostaglandin F1α(6-keto-PGF1α)level in patients with lower extremity arterioscle-rosis obliterans(ASO).Methods From January 2017 to June 2022,90 patients with ASO of lower limbs were selected from Shijia-zhuang Traditional Chinese Medicine Hospital,the patients were randomly divided into control group(45 cases,treated with fasudil)and treatment group(45 cases,treated with fasudil combined with Xuefu Zhuyu decoction).The clinical efficacy,blood flow of dorsalis pedis artery,intermittent claudication distance and serum 6-keto-PGF1α level were compared between the two groups.Results The to-tal effective rate of the treatment group was 93.33%,which was higher than 75.56%of the control group(P<0.05).After treatment,the score of intermittent claudication in the two groups decreased compared with that before treatment,and that in the treatment group de-creased more obviously(P<0.05).After treatment,the serum 6-keto-PGF1α level and limping distance in both groups were increased compared with those before treatment,and the increases in the treatment group were more obvious(P<0.05).After treatment,the diame-ter,peak velocity and blood flow of blood vessels in the two groups were obviously improved,and the treatment group were obviously better than the control group(P<0.05).Conclusion The treatment of lower limb ASO patients with Xuefu Zhuyu decoction and re-duced combination of shudil has good safety,which can improve the blood flow of the dorsal foot artery,intermittent claudication dis-tance,and 6-keto-PGF1 α level.

Arteriosclerosis obliteransXuefu Zhuyu decoctionFasudilLower extremityBlood flow of dorsalis pedis arteryIntermittent limping distance6-keto-prostaglandin F1α

陈凡平、宁红霞、汪海波、杨晓萌

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石家庄市中医院药剂科,河北 石家庄 050000

闭塞性动脉硬化 血府逐瘀汤 法舒地尔 下肢 足背动脉血流量 间歇性跛行距离 6-酮-前列腺素F1α

2025

安徽医药
安徽省药学会

安徽医药

影响因子:1.941
ISSN:1009-6469
年,卷(期):2025.29(2)