疏血通对急性脑梗死40例患者血P-、L-选择素表达及炎症的影响
DOI:
CSTR:
作者:
作者单位:

作者简介:

通讯作者:

中图分类号:

基金项目:

广西卫生厅自筹经费科研课题(E2007189);广西中医学院自然科学研究课题(P2006089)


Impact of Shuxuetong on P- Selectin and L- Selectin Expression and Inflammation on 40 Patients with Acute Cerebral Infarction
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    目的:观察疏血通注射液对脑梗死患者P-、L-选择素表达及对炎症反应的影响,研究其干预脑缺血后炎症反应的环节及作用机制。方法:将诊断明确的急性脑梗死住院患者80例随机分为2组,治疗组40例,对照组40例。对照组给予西医常规治疗:抗血小板聚集、控制脑水肿、改善脑血循环、改善脑细胞代谢、防治并发症及支持疗法;治疗组在对照组的基础上加用0.9%生理盐水250mL+疏血通注射液6mL,每天1次,连续使用14天。对比2组治疗前后临床疗效及P-、L-选择素及炎症指标C反应蛋白(CRP)的变化。结果:治疗组愈显率72.5%,有效率92.5%,高于对照组(50%和75%,P<0.05)。治疗后2组患者临床神经功能缺损评分均有明显改善(P<0.05),治疗组改善更明显(P<0.05);治疗后2组血P-、L-选择素、CRP均有明显改善(P<0.05),治疗组在血P-、L-选择素、CRP的改善方面优于对照组(P<0.05)。结论:疏血通注射液治疗急性脑梗死患者有较好的疗效,其作用机制与干预急性脑梗死患者P-、L-选择素的表达,调节炎症反应有关。

    Abstract:

    To observe the impact of Shuxuetong on the expression of P- selectin, L- selectin, and C-reactive protein in the condition of acute cerebral infarction, and study the intervention mechanism thereof . Methods:Eighty patients were randomized to receive Shuxuetong (6ml, diluted with 250ml 0.9% Sodium Chloride, once per day) plus routine treatments (anti-platelet aggregation, etc.) for 14 consecutive days, controlled by those receiving the routine treatments only (anti-platelet aggregation, etc.).The clinical effect, P-, L- selectin, and CRP were observed. Results:The significant effective rate (72.5%) and effective rate of (92.5%) of the treatment group were higher than those of the control group (50%, 75%, P<0.05). After treatment, both groups improved in all abovementioned parameters (P<0.05), with the treatment group being significantly better (P<0.05). Conclusion: By intervening the expression of P- selectin, L- selectin, and regulating inflammatory reaction, Shuxuetong Injection has satisfactory therapeutic effect on acute cerebral infarction.

    参考文献
    相似文献
    引证文献
引用本文

周义杰,王红,李志英,韦华军,王培力.疏血通对急性脑梗死40例患者血P-、L-选择素表达及炎症的影响[J].世界中医药,2010,5(1).

复制
相关视频

分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2009-11-09
  • 最后修改日期:
  • 录用日期:
  • 在线发布日期: 2012-10-19
  • 出版日期:
文章二维码