首页|辛芷祛痛胶囊对偏头痛患者大脑血流速度及血管内皮功能的影响

辛芷祛痛胶囊对偏头痛患者大脑血流速度及血管内皮功能的影响

扫码查看
目的 观察辛芷祛痛胶囊对偏头痛患者大脑血流速度及血管内皮功能的影响.方法 选取2021 年5 月至2022 年9 月就诊的偏头痛患者80 例,按入组先后顺序随机分为2 组,治疗组40 例予辛芷祛痛胶囊治疗,对照组40 例予正天丸治疗.2 组均治疗10 天.2 组治疗前后比较偏头痛症状评分,检测大脑前动脉(ACA)、大脑中动脉(MCA)、大脑后动脉(PCA)血流速度和血管内皮功能[内皮素(ET)、一氧化氮(NO)及 5-羟色胺(5-HT)]指标,并统计临床治疗效果和不良反应发生率.结果 观察组总有效率97.5%(39/40),对照组总有效率80.0%(32/40),观察组疗效优于对照组(P<0.05).2 组治疗3、7、10 天后偏头痛症状评分均较本组治疗前降低(P<0.05),且观察组治疗3、7、10 天后均低于对照组同期(P<0.05).2 组治疗后ACA、MCA、PCA血流速度均显著降低(P<0.05),且观察组治疗后均低于对照组(P<0.05).2 组治疗后ET、NO、5-HT均显著降低(P<0.05),且观察组治疗后均低于对照组(P<0.05).2 组不良反应发生率比较差异无统计学意义(χ2=0.125,P>0.05).结论 辛芷祛痛胶囊可显著提高偏头痛治疗效果,改善患者偏头痛症状、大脑血流速度及血管内皮功能,且用药安全性有一定保障.
Effect of Xinzhi Qutong capsule on cerebral blood flow velocity and vascular endothelial function in migraine patients
Objective To analyze the effect of Xinzhi Qutong capsule on cerebral blood flow velocity(CBFV)and vascular endothelial function(VEF)in migraine patients.Methods Eighty migraine patients from May 2021 to September 2022 were randomly divided into treatment group(40 cases)and control group(40 cases)according to the order of admission,in which they were given Xinzhi Qutong capsule and Zhengtian Pills,respectively.Treated for 10 days,the aim was to compare migraine symptom score,blood flow velocity(BFV)of anterior cerebral artery(ACA),middle cerebral artery(MCA),posterior cerebral artery(PCA),VEF(endothelin[ET],nitric oxide[NO],and 5-hydroxytryptamine[5-HT]).The clinical efficacy and incidence of adverse reactions were assessed.Results The overall effective rate in the treatment group was better than that in the control group(97.5%[39/40]vs 80.0%[32/40],P<0.05).The migraine symptom scores on days 3,7,10 of treatment in the both groups were significantly decreased(P<0.05),which decreased notably in the treatment group compared with the control group(P<0.05).After treatment,BFV of ACA,MCA,PCA in the both groups were significantly decreased(P<0.05),the decrease in the treatment group was more prevalent compared with the control group(P<0.05).ET,NO,5-HT in the both groups were significantly decreased(P<0.05),the decrease in the treatment group was more common than the control group(P<0.05).None of the incidence of adverse reactions differed significantly between groups(χ2=0.125,P>0.05).Conclusion Xinzhi Qutong capsule in migraine patients can significantly improve the treatment effect,improve the patient's symptoms,BFV,and VEF,and with a certain medication safety.

MigraineTraditional Chinese medicine therapyCerebral blood flow velocityVascular endothelial function

郭艳霞、贾岩、韩秀莲、王扬、孙艳乔、马东萌

展开 >

河北省唐山市丰南区中医医院制剂室,河北 唐山 063300

华北理工大学附属医院中医内科,河北 唐山 063000

河北省唐山市丰南区中医医院内科,河北 唐山 063300

河北省唐山市丰南区医院药剂科,河北 唐山 063300

展开 >

偏头痛 中药疗法 大脑血流速度 血管内皮功能

河北省中医药管理局科研计划项目

2023416

2024

河北中医
河北省医学情报研究所,河北省中医药学会

河北中医

CSTPCD
影响因子:0.951
ISSN:1002-2619
年,卷(期):2024.46(8)
  • 11