首页|丹参川芎嗪对椎-基底动脉系统短暂性脑缺血发作患者血液流变学的影响

丹参川芎嗪对椎-基底动脉系统短暂性脑缺血发作患者血液流变学的影响

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目的 分析丹参川芎嗪对椎-基底动脉系统短暂性脑缺血发作(vertebrobasilar transient ischemic attack,VB-TIA)患者血液流变学的影响.方法 选取84例VB-TIA患者,使用抽签法将其分为观察组及对照组,各42例.均使用银杏达莫注射液治疗,观察组加用丹参川芎嗪注射液,对照组加用复方丹参注射液.比较2组患者治疗效果及血液流变学变化.结果 观察组临床缓解率显著高于对照组,其药物起效时间及症状缓解时间均短于对照组(P<0.05).2组患者治疗后椎-基底动脉血流速度均显著升高,观察组升高更为明显(P<0.05).2组患者治疗后血液流变学指标均显著改善,观察组低切粘度、血小板聚集率、红细胞变形指数、红细胞聚集指数及血细胞比容改善显著优于对照组(P<0.05).2组患者不良反应发生率比较,差异无统计学意义.结论 丹参川芎嗪能够在不增加治疗不良反应的前提下,有效缩短药物的起效时间、改善椎-基底动脉血流速度、恢复血液流变学稳定,对患者临床缓解率的提高具有积极作用.
Effects of salvia tetramethylpyrazine on hemorheology in vertebrobasilar transient ischemia attack
Objective To analyze the effect of salvia tetramethylpyrazine on hemorheology in patients with vertebrobasilar transient ischemia attack (VB-TIA). Methods 84 patients with VB-TIA were divided into observation group and control group, 42 cases in each group. They both received the treatment of Ginkgo-diyidamolum injection. The observation group were treated by salvia tetramethylpyrazine, and the control group were treated by compound Danshen injection. The therapeutic effect of the two groups and the changes of blood rheology were compared. Results The clinical remission rate of the observation group was significantly higher than that of the control group, and the time of onset and symptoms of the drug were shorter than those of the control group (P < 0.05). The blood flow velocity of vertebral basilar artery in the two groups were significantly higher than those in the observation group (P < 0.05). After treatment, the hemorheology of the two groups were significantly improved, the high shear viscosity and low shear viscosity, platelet aggregation rate, erythrocyte deformation index, erythrocyte aggregation index and blood haematocrit of observation group improved more obviously (P < 0.05). The incidence of adverse reactions in the two groups was not statistically significant. Conclusion Salvia tetramethylpyrazine could effectively shorten the drug onset time, improve the blood velocity of vertebrobasilar artery, recover blood rheology and stability on the condition of not increasing the adverse reactions, which has a positive effect on the clinical remission rate.

salvia tetramethylpyrazinevertebrobasilar transient ischemia attackcurative effecthemorheology

周辉飞、谢波、秦理、赵进和、张长国

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湖州市第三人民医院 重症医学科,浙江 湖州 313000

湖州市中心医院 重症医学科,浙江 湖州 313000

湖州市第三人民医院 老年心血管内科,浙江 湖州 313000

湖州市第三人民医院 神经内科,浙江 湖州 313000

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丹参川芎嗪 椎-基底动脉系统短暂性脑缺血发作 疗效 血液流变学

2017

中国生化药物杂志
南京生物化学制药研究所,全国生化制药情报中心站,中国生化制药工业协会,中国药品生物制品检定所

中国生化药物杂志

ISSN:1005-1678
年,卷(期):2017.37(1)
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