首页|通腑醒神汤加减联合醒脑静注射液治疗急性脑出血的临床效果

通腑醒神汤加减联合醒脑静注射液治疗急性脑出血的临床效果

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目的 探讨通腑醒神汤加减联合醒脑静注射液治疗急性脑出血的临床效果。方法 选取 2022 年 2 月至 2023年 2 月于郑州市金水区总医院治疗的 120 例急性脑出血患者作为入组研究对象,使用随机数字表法将研究对象分为单药组 60 例、联合组 60 例。联合组在采用通腑醒神汤加减联合醒脑静注射液治疗,单药组使用醒脑静注射液治疗,对比单药组和联合组临床疗效、血管内皮功能指标、炎性细胞因子、血液流变学、神经功能缺损及不良反应发生率。结果 治疗后,联合组治疗有效率高于单药组,差异有统计学意义(P<0。05);联合组不良反应发生率与单药组比较,差异无统计学意义(P>0。05)。治疗前,两组血液流变学指标、血管内皮功能、神经功能缺损评分及炎性细胞因子水平比较差异无统计学意义(P>0。05);治疗后,两组低切还原黏度、高切还原黏度、内皮素-1(ET-1)、神经功能缺损程度及炎性细胞因子水平均低于治疗前,一氧化氮(NO)水平高于治疗前,且联合组低切还原黏度、高切还原黏度、ET-1、神经功能缺损程度及炎性细胞因子水平均低于单药组,NO水平高于单药组,差异具有统计学意义(P<0。05)。结论 通腑醒神汤加减联合醒脑静注射液治疗可提高临床治疗效果,改善血液流变学指标及血管内皮功能;减少神经功能缺损程度,并降低炎性细胞因子水平,促进急性脑出血患者身体恢复。
Clinical Effect of Modified Tongfu Xingshen Decoction Combined with Xingnaojing Injection in the Treatment of Acute Cerebral Hemorrhage
Objective To investigate the clinical effect of Modified Tongfu Xingshen Decoction combined with Xingnaojing Injection in the treatment of acute cerebral hemorrhage.Methods A total of 120 patients with acute cerebral hemorrhage treated at Jinshui District General Hospital from February 2022 to February 2023 were selected as study subjects.The subjects were divided into a single-drug group(60 cases)and a combined group(60 cases)using the random number table method.The combined group was treated with modified Tongfu Xingshen Decoction combined with Xingnaojing Injection,while the single-drug group was treated with Xingnaojing Injection alone.The clinical efficacy,vascular endothelial function indicators,inflammatory cytokines,hemorheology,neurological deficit,and incidence of adverse reactions were compared between the single-drug group and the combination group.Results After treatment,the effective rate of the combined group was higher than that of the single-drug group,with a statistically significant difference(P<0.05).There was no statistically significant difference in the incidence of adverse reactions between the combined group and the single-drug group(P>0.05).Before treatment,there were no statistically significant differences in hemorheology indicators,vascular endothelial function,neurological deficit scores,and inflammatory cytokine levels between the two groups(P>0.05).After treatment,the low-shear reduced viscosity,high-shear reduced viscosity,endothelin-1(ET-1),neurological deficit degree,and inflammatory cytokine levels of both groups were lower than before treatment,while the nitric oxide(NO)level was higher than before treatment.In addition,The low-shear reduced viscosity,high-shear reduced viscosity,ET-1,neurological deficit degree,and inflammatory cytokine levels of the combined group were lower than those of the single-drug group,while the NO level was higher than that of the single-drug group,with statistically significant differences(P<0.05).Conclusion Modified Tongfu Xingshen Decoction combined with Xingnaojing Injection can improve clinical treatment efficacy,improve hemorheology indicators and vascular endothelial function,reduce the degree of neurological deficit,lower inflammatory cytokine levels,and promote the recovery of patients with acute cerebral hemorrhage.

modified Tongfu Xingshen decoctionacute cerebral hemorrhagexingnaojing injectioninflammatory cytokinesneurological deficit

韩治光

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郑州市金水区总医院 急诊科,河南 郑州 450003

通腑醒神汤加减 急性脑出血 醒脑静注射液 炎性细胞因子 神经功能缺损

2024

临床研究
西安交通大学

临床研究

影响因子:0.234
ISSN:2096-1278
年,卷(期):2024.32(10)