首页|橘皮半夏汤联合通窍活血汤加减治疗脑小血管病的疗效观察

橘皮半夏汤联合通窍活血汤加减治疗脑小血管病的疗效观察

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目的:明确橘皮半夏汤联合通窍活血汤加减治疗脑小血管病(CSVD)的临床疗效,初步探讨其作用机制.方法:将 100 例脑小血管病患者按照随机数字表法分为对照组(50 例)和实验组(50 例);对照组给予常规治疗,实验组在常规治疗基础上加服橘皮半夏汤联合通窍活血汤治疗,共治疗3 个月;以日常生活能力量表(ADL)评分、C反应蛋白(CRP)、D-二聚体、纤维蛋白原(FIB)水平为评价指标,对两组患者的治疗效果进行比较.结果:治疗后两组患者ADL评分均显著高于治疗前,且实验组高于同期对照组(P<0.05);两组患者血清CRP、D-二聚体、FIB显著低于治疗前,实验组低于对照组(P<0.05).结论:橘皮半夏汤联合通窍活血汤加减治疗CSVD疗效显著,能显著改善患者日常生活能力,减轻CSVD患者炎性反应、减少微栓子形成,且安全性较高.
Therapeutic Effects of Jupi Banxia Decoction Combined with Tongqiao Huoxue Decoction in the Treatment of Cerebral Small Vessel Disease
Objective:To explore the clinical efficacy of the combination of Jupi Banxia Decoction and Tongqiao Huoxue Decoction in the treatment of cerebral small vessel disease(CSVD),and to preliminarily ex-plore its mechanism of action.Methods:100 patients with cerebral small vessel disease were randomly divided into the control group(50 cases)and the experimental group(50 cases)using a random number table method.The control group received routine treatment,while the experimental group received additional treatment of Jupi Banxia Decoction combined with Tongqiao Huoxue Decoction on the basis of routine treatment,for a total of 3 months.The the daily living ability scale(ADL)score,C-reactive protein(CRP),D-dimer,and fibrino-gen(FIB)levels as evaluation indicators were compared.Results:After treatment,the ADL scores of both groups of patients were significantly higher than that before treatment,and the experimental group was higher than the control group during the same period(P<0.05);The serum CRP,D-dimer,and FIB of the two groups of patients were significantly lower than that before treatment,while the experimental group was lower than the control group(P<0.05).Conclusion:The combination of Jupi Banxia Decoction and Tongqiao Huoxue Decoction has a significant therapeutic effect on CSVD.It can significantly improve the daily living abil-ity of patients,alleviate inflammatory reactions,and reduce the formation of microemboli,with high safety.

Cerebrovascular diseaseOrange Peel Pinellia DecoctionTongqiao Huoxue TangC-re-active proteinD-dimerFibrinogen

彭欣、王利平

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济源市中医院,河南 济源 459000

济源市职业技术学院,河南 济源 459000

脑小血管病 橘皮半夏汤 通窍活血汤 C反应蛋白 D-二聚体 纤维蛋白原

2024

黔南民族医专学报
黔南民族医学高等专科学校

黔南民族医专学报

影响因子:0.235
ISSN:1008-4983
年,卷(期):2024.37(1)
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