首页|益气活血化浊解毒法治疗缺血性脑卒中的多中心双盲随机对照试验

益气活血化浊解毒法治疗缺血性脑卒中的多中心双盲随机对照试验

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目的:观察益气活血化浊解毒法对缺血性脑卒中(CIS)患者的临床疗效、安全性及复发率的影响.方法:采用随机、双盲、安慰剂对照、多中心临床试验研究,将120例CIS患者随机分为2组,研究过程中有脱落病例,最终纳入对照组53例,治疗组56例.对照组予以基础治疗及中药颗粒模拟剂口服,治疗组予以基础治疗及益气活血化浊解毒中药颗粒剂口服,分别于治疗前、治疗第21天、治疗第3个月、治疗第6个月观察两组患者美国国立卫生院卒中评分(NIHSS)、中医证候积分、超敏C反应蛋白(hs-CRP)以及血同型半胱氨酸(Hcy)水平的变化,治疗前和治疗第6个月观察两组患者血脂水平的变化,随访两组患者12个月内脑血管病复发率情况.结果:治疗第21天以及第3、6个月,两组患者NIHSS评分、中医证候积分、hs-CRP、Hcy水平均较治疗前显著下降(P<0.05),治疗第3、6个月,治疗组上述指标均显著低于对照组(P<0.05).两组患者治疗第6个月的血脂水平均较治疗前显著降低(P<0.05),且治疗组显著低于对照组(P<0.05).随访12个月,治疗组复发率为1.8%(1/56),对照组复发率为5.7%(3/53),差异无统计学意义.结论:益气活血化浊解毒法可明显减轻CIS患者的神经功能缺损程度,改善中医证候,抑制炎症反应,降低Hcy和血脂水平,提高临床疗效,且未发现明显不良反应.
Method of Yiqi Huoxue Huazhuo Jiedu in the treatment of cerebral ischemic stroke:A multicenter double-blind randomized controlled trial
Objective:To observe the clinical efficacy,safety and recurrence rate of the method of Yiqi Huoxue Huazhuo Jiedu(YHHJ)in the treatment of cerebral ischemic stroke(CIS).Methods:A randomized,double-blind,placebo-controlled,multicenter clinical trial was conducted.A total of 120 patients with CIS were randomly divided into two groups,during the research process,there were cases of dropouts,53 cases in the control group and 56 cases in the treatment group,finally.The control group was given Chinese medicine granule simulants orally,while the treatment group was given Chinese medicine granule with the efficacy of YHHJ orally.The National Institutes of Health Stroke Scale(NIHSS),traditional Chinese medicine(TCM)syndrome score,high-sensitivity C-reactive protein(hs-CRP)and blood homocysteine(Hcy)in the two groups were observed before treatment,on the 21st day,3rd month and 6th month after treatment.Blood lipid in the two groups were observed before treatment and 6th month after treatment.Both groups were followed up for 12 months to observe the recurrence of cerebrovascular disease.Results:On the 21st day,3rd month and 6th month after treatment,the NIHSS scores,TCM syndrome scores,hs-CRP and Hcy of the two groups were significantly lower than those before treatment(P<0.05).At the 3rd month and 6th month after treatment,the above indexes in the treatment group was significantly lowered than those in the control group(P<0.05).At the 6th month after treatment,the levels of blood lipids in the two groups were lower than those before treatment(P<0.05),and the treatment group was significantly lowered than the control group significantly(P<0.05).After 12 months of follow-up,the recurrence rate was 1.8%(1/56)in the treatment group,while the recurrence rate was 5.7%(3/53)in the control group,there was no statistical significance.Conclusion:The method of YHHJ can significantly reduce NIHSS scores,improve TCM symptoms,lower inflammatory response,reduce Hcy and blood lipid for improving clinical efficacy in CIS patients.It causes no significant adverse effects.

Method of Yiqi Huoxue Huazhuo JieduCerebral ischemic stroke(CIS)Qi deficiency and blood stasisTurbidity toxin in the interiorEfficacy observationStroke

田军彪、赵见文、张惠利、杨丽静、单婷、刘学飞、王文刚、赵层闪、张希廉、薛秀娟、程丽娜、张颜伟、张培义、石瑞

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河北省中医院,石家庄 050011

河北省沧州中西医结合医院,沧州 061001

秦皇岛市中医医院,秦皇岛 066000

衡水市中医院,衡水 053000

魏县人民医院,邯郸 056800

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益气活血化浊解毒法 缺血性脑卒中 气虚血瘀 浊毒内蕴 疗效观察 中风

河北省省级科技计划资助(重点研发计划)项目河北省中医药管理局科研计划重点项目河北中医学院科研能力提升重点项目

20377710DZ2022008KTZ2019028

2024

中华中医药杂志
中华中医药学会

中华中医药杂志

CSTPCD北大核心
影响因子:1.135
ISSN:1673-1727
年,卷(期):2024.39(9)