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半夏白术天麻汤辅助治疗风痰阻络证急性脑梗死的效果

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目的:探讨半夏白术天麻汤辅助治疗风痰阻络证急性脑梗死(ACI)患者的效果。方法:选择 2021 年 11 月—2023 年 5 月淮安市楚州中医院收治的 94 例风痰阻络证ACI患者作为研究对象,按随机数表法将患者分为常规组与治疗组,各 47 例。常规组给予常规西药治疗,治疗组在此基础上给予半夏白术天麻汤辅助治疗,两组均治疗 14 d。比较两组临床疗效、神经功能、炎症因子水平及氧化应激反应。结果:治疗组总有效率为 95。74%,较常规组的 80。85%更高,差异有统计学意义(P<0。05);治疗后,两组美国国立卒中量表(NIHSS)评分较治疗前降低,且治疗组较常规组更低,差异有统计学意义(P<0。05);治疗后,两组基质金属蛋白酶-9(MMP-9)、肿瘤坏死因子-α(TNF-α)及白细胞介素-8(IL-8)较治疗前降低,且治疗组较常规组更低,差异有统计学意义(P<0。05);治疗后,两组丙二醛(MDA)较治疗前降低,超氧化物歧化酶(SOD)较治疗前升高,且治疗组MDA较常规组更低,SOD较常规组更高,差异有统计学意义(P<0。05)。结论:半夏白术天麻汤辅助治疗风痰阻络证ACI效果确切,可减轻炎症因子表达,降低氧化应激反应,改善神经功能。
Effect of Banxia Baizhu Tianma Decoction in the Adjuvant Treatment of Acute Cerebral Infarction with Wind-phlegm-blocked Collaterals Syndrome
Objective:To investigate the effect of Banxia Baizhu Tianma Decoction in the adjuvant treatment of acute cerebral infarction(ACI)with wind-phlegm-blocked collaterals syndrome.Method:A total of 94 ACI patients with wind-phlegm-blocked collaterals syndrome who admitted to Chuzhou Hospital of Traditional Chinese Medicine in Huai'an City from November 2021 to May 2023 were selected as the study objects,the patients were randomly divided into the conventional group and the treatment group,with 47 cases in each group.The conventional group was treated with conventional western medicine,and the treatment group was treated with Banxia Baizhu Tianma Decoction on the basis of this,two groups were treated for 14 d.The clinical efficacy,neurological function,inflammatory factor levels and oxidative stress response were compared between two groups.Result:The total effective rate of the treatment group was 95.74%,which was higher than 80.85%of the conventional group,the difference was statistically significant(P<0.05).After treatment,the National Institute of Health stroke scale(NIHSS)scores of two groups were decreased compared with those before treatment,and that in the treatment group was lower than that of the conventional group,the differences were statistically significant(P<0.05).After treatment,the matrix metalloproteinase-9(MMP-9),tumor necrosis factor-α(TNF-α)and interleukin-8(IL-8)in two groups were decreased compared with those before treatment,and which in the treatment group were lower than those in the conventional group,the differences were statistically significant(P<0.05).After treatment,the malondialdehyde(MDA)in two groups were lower than those before treatment,and the SOD were higher than those before treatment,and the MDA in the treatment group was lower than that in the conventional group,and the SOD was higher than that in the conventional group,the differences were statistically significant(P<0.05).Conclusion:Banxia Baizhu Tianma Decoction is effective in the adjuvant treatment of ACI with wind-phlegm-blocked collaterals syndrome,which can reduce the expression of inflammatory factor,reduce oxidative stress response and improve neurological function.

Acute cerebral infarctionWind-phlegm-blocked collaterals syndromeBanxia Baizhu Tianma DecoctionNeural function

陈银、刘子漾

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淮安市楚州中医院 江苏 淮安 223200

急性脑梗死 风痰阻络证 半夏白术天麻汤 神经功能

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(14)
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