长春西汀联合丹参川芎嗪对脑梗死血液流变学的影响
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湖北医药学院研究生启动基金(编号:2008QDJ9)


Effect of Vinpocetine Combined with Danshen Ligustrazine on Hemorrheology of Patients with Cerebral Infarction
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    摘要:

    目的:观察长春西汀联合丹参川芎嗪治疗脑梗死的疗效并分析其对血液流变学的影响。方法:脑梗死患者212例,随机分为对照组、联合治疗组,对照组口服阿托伐他汀+肠溶拜阿司匹林并静脉滴注丹参川芎嗪注射液;联合治疗组在此治疗基础上静脉滴注长春西汀注射液20 mg;动态记录治疗前及治疗5 d、10 d、15 d、21 d局部脑血流(rCBF)及脑电图(EEG)。测定治疗前及治疗3周后患者总胆固醇、低密度脂蛋白胆固醇、血沉、血液血小板集聚率、纤维蛋白原活性、全血高切黏度、全血底切黏度及红细胞压积等血液流变学指标,计算治疗前后卒中量表(NIHSS)及Barthel指数量表ADL,并计算总有效率。结果:长春西汀联合丹参川芎嗪能显著降低血液血小板集聚率、纤维蛋白原活性、全血高切黏度、全血底切黏度,增加rCBF并恢复EEG至正常状态,NIHSS评分明显下降,ADL明显好转,总有效率达97%,与对照组比较,P<0.05,差异有统计学意义。结论:长春西汀联合丹参川芎嗪对脑梗死有理想的治疗作用。

    Abstract:

    To observe the curative effect of vinpocetine combined with salvia ligustrazine in treating cerebral infarction and its influence on blood rheology.Methods:Two hundred and twelve cases of patients with cerebral infarction were randomly divided into control group and treatment group. Patients in the control group received oral atorvastatin and enteric coated aspirin and intravenous infusion of Danshen Ligustrazine Injection. Patients in the treatment group not only received the above treatment, but also were given 20 mg intravenous drip of vinpocetine injection; dynamic recorded before treatment and egional cerebral blood flow (rCBF) and electroencephalogram (EEG) on 5d, 10d, 15d, 21d after treatment. The levels of total cholesterol, low density lipoprotein cholesterol, ESR and blood platelet aggregation rate and fibrinogen activity, whole blood high shear viscosity, whole blood viscosity and bottom hematocrit and blood rheological index before and after the treatment, calculation of Stroke Scale (NIHSS) and Barthel index ADL were measured before and 3 weeks after treatment (W) in patients, and the total efficiency was calculated.Results:Vinpocetine combined with Danshen Ligustrazine could significantly reduce blood platelet aggregation rate and fibrinogen activity, whole blood high shear viscosity, whole blood viscosity increase bottom cut, rCBF and restore EEG to the normal state, the score of NIHSS decreased significantly, ADL was significantly improved, and the total effective rate was 97%, compared with the control group,P<0.05, there were significant significant differences.Conclusion:The therapeutic effect of vinpocetine combined with Danshen Ligustrazine on cerebral infarction is ideal.

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祁涛,李莉,李贤玉,陈德森.长春西汀联合丹参川芎嗪对脑梗死血液流变学的影响[J].世界中医药,2015,10(08).

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  • 收稿日期:2014-08-15
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  • 在线发布日期: 2015-08-31
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