首页|枳实大黄汤联合丁苯酞对急性脑梗死神经功能和氧化应激的影响

枳实大黄汤联合丁苯酞对急性脑梗死神经功能和氧化应激的影响

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目的 观察枳实大黄汤联合丁苯酞对急性脑梗死(ACI)患者的神经功能及血清氧化应激水平的影响.方法 将92例ACI患者按照随机数字表法分为两组各46例,观察组采用枳实大黄汤联合丁苯酞治疗,对照组采用丁苯酞治疗,治疗周期14 d.观察治疗后两组临床疗效、中医证候评分、神经功能、血清氧化应激水平以及不良反应.结果 治疗14d后,观察组血清丙二醛(MDA)、一氧化氮(NO)水平低于对照组(P<0.05),超氧化物歧化酶(SOD)水平高于对照组(P<0.05).治疗后两组神经功能评分均明显下降(P<0.05),观察组治疗后评分均显著低于对照组(P<0.05).观察组总有效率为95.65%,高于对照组78.26%(P<0.05).治疗后观察组半身不遂、偏身麻木、头晕目眩等症状积分均低于对照组(P<0.05);观察组胃肠道障碍、肢体乏力、言语不清、反应迟钝等不良反应发生率与对照组比较差异无统计学意义(P>0.05).结论 枳实大黄汤联合丁苯酞治疗ACI患者能够改善血清氧化应激水平,提升神经功能,提高其临床疗效,改善临床症状,无明显不良反应.
Influence of Zhishi Dahuang Decoction Combined with Butyphthalide on Neurological Function and Serum Oxidative Stress in Acute Cerebral Infarction
Objective:To observe the influence of Zhishi Dahuang Decoction combined with butyphthalide on neurological function and serum oxidative stress level in patients with acute cerebral infarction(ACI).Methods:A total of 92 ACI patients were randomly divided into an observation group(treated with Zhishi Dahuang Decoc-tion combined with butylphthalide)of 46 cases and a control group(treated with butylphthalide)of 46 cases,with a treatment period of 14 days.The clinical efficacy,traditional Chinese medicine symptom scores,neurological function,serum oxidative stress levels,and adverse reactions after treatment were observed.Results:After 14 days of treatment,the levels of serum malondialdehyde(MDA)and nitric oxide(NO)in the observation group were low-er than those in the control group(P<0.05),and the levels of superoxide dismutase(SOD)were higher than those in the control group(P<0.05).After treatment,there were statistically significant differences in neurological func-tion scores between the two groups at different time points and interactions(P<0.05).The observation group had significantly lower scores than the control group after treatment(P<0.05).After treatment,the total effective rate in the observation group was 95.65%,which was higher than 78.26%in the control group(P<0.05).After treat-ment,the observation group had lower scores for symptoms such as hemiplegia,hemianesthesia and dizziness than the control group(P<0.05).After treatment,the incidence of adverse reactions such as gastrointestinal disorders,limb fatigue,unclear speech,and delayed response in the observation group was no different from that in the con-trol group(P>0.05).Conclusion:The combination of Zhishi Dahuang Decoction and butylphthalide in the treat-ment of ACI patients can improve serum oxidative stress levels,enhance neurological function,enhance clinical ef-ficacy,improve clinical symptoms,and have no obvious adverse reactions.

Acute cerebral infarctionZhishi Dahuang DecoctionScoring of Traditional Chinese Medicine SymptomsNeurological functionSerum oxidative stress levels

王美琴、孙佳、史淋峰、史静艳、曹蓉、戴欣珏、包佳翔

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江苏省宜兴市中医医院,江苏宜兴 214200

急性脑梗死 枳实大黄汤 中医证候评分 神经功能 血清氧化应激水平

宜兴市卫生健康委员会科技项目

yxfc06

2024

中国中医急症
中华中医药学会

中国中医急症

CSTPCD
影响因子:1.144
ISSN:1004-745X
年,卷(期):2024.33(2)
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