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Clinical effect of Zhixiong Capsules in treating convalescent period of cerebral infarction with syndrome of static blood blocking collaterals |
YI Lihua ZHENG Lisha WANG Jia LIU Di#br# |
Department of Neurology, Fuxin Mine General Hospital of Liaoning Health Industry, Liaoning Province, Fuxin 123000, China |
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Abstract Objective To explore the clinical effect of Zhixiong Capsules in treating convalescent period of cerebral infarction with syndrone of static blood blocking collaterals. Methods A total of 86 patients with convalescent period of cerebral infarction admitted to Fuxin Mine General Hospital of Liaoning Health Industry Group from January 2019 to January 2022 were selected and divided into control group and combination group by random number table method, with 43 cases in each group. On the basis of conventional treatment, the control group was given Butylphthalide Capsules, and the combination group was given Zhixiong Capsules combined with Butylphthalide Capsules. After 14 days of treatment, the clinical efficacy of two groups was compared, and the simplified Fugl-Meyer scale (FMA) score, modified Barthel index (MBI), National Institutes of Health stroke scale (NIHSS) score, plasma viscosity, whole blood high shear viscosity, whole blood low shear viscosity, and serum vascular endothelial growth factor (VEGF), neuron-specific enolase (NSE), cell matrix-derived factor-1 (SDF-1) levels before and after treatment were compared between the two groups. The occurrence of adverse reactions during treatment was recorded in both groups. Results The overall curative effect of the combination group was better than that of the control group (P<0.05). After treatment, NIHSS score, plasma viscosity, whole blood high shear viscosity, whole blood low shear viscosity, and serum NSE level were all lower than those before the treatment, while FMA score, MBI, and serum VEGF and SDF-1 levels were all higher than those before the treatment, NIHSS score, plasma viscosity, whole blood high shear viscosity, whole blood low shear viscosity, and serum NSE level in combination group were lower than those in control group, while FMA score, MBI, and serum VEGF and SDF-1 levels were higher than those in control group, the differences were statistically significant (P<0.05). During the treatment period, no serious adverse reactions occurred in both groups. Conclusion In the convalescent period of cerebral infarction, the treatment effect of Zhixiong Capsules combined with Butylphthalide Capsules is significant, which is conducive to improving the hemodynamics and quality of life of patients, and is worthy of clinical promotion.
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[1] 郝雅文.急性脑梗死的治疗进展[J].天津药学,2021,33(4):66-69.
[2] 汪学玲,徐慧.康复护理联合上下肢康复训练器训练对脑梗死康复期患者肢体功能及平衡功能的影响[J].中国临床研究,2021,34(1):137-140.
[3] 郑芳昆,龙登毅,贝筝,等.安宫牛黄丸联合常规治疗对急性脑梗死恢复期患者的临床疗效[J].中成药,2021,43(2):381-384.
[4] 党利华,王咏龙,张海军.补阳还五汤联合丁苯酞注射液对急性脑梗死恢复期患者神经功能保护作用的研究[J].辽宁中医杂志,2020,47(7):81-84.
[5] 李涛,许自强,尤书德.蛭芎胶囊联合氯吡格雷治疗缺血性脑卒中的临床研究[J].现代药物与临床,2020,35(7):1390-1393.
[6] 中华医学会神经病学分会,中华医学会神经病学分会脑血管病学组.中国急性缺血性脑卒中诊治指南2018[J].中华神经科杂志,2018,51(9):666-682.
[7] 国家中医药管理局.中医病证诊断疗效标准[M].南京:南京大学出版社,1994:186.
[8] Kwah LK,Diong J. National Institutes of Health Stroke Scale(NIHSS) [J]. J Physiother,2014,60(1):61.
[9] 张玉梅,宋鲁平.康复评定常用量表[M].北京:科学技术文献出版社,2018:25.
[10] Ohura T,Hase K,Nakajima Y,et al. Validity and reliability of a performance evaluation tool based on the modified Barthel Index for stroke patients [J]. BMC Med Res Methodol,2017,17(1):131.
[11] 王亚楠,吴思缈,刘鸣.中国脑卒中15年变化趋势和特点[J].华西医学,2021,36(6):803-807.
[12] 史卫卫,寻鲁宁,曹亚景,等.河北省居民2015-2018年脑梗死流行特征分析及时间序列预测[J].中国公共卫生,2021,37(12):1800-1804.
[13] 刘娜,路学荣,孙雪美.急性脑梗死患者发生认知功能障碍的相关危险因素及预防措施分析[J].当代医学,2020, 26(30):80-83.
[14] 陈敏,冯灵,涂双燕,等.急性大动脉闭塞性脑梗死患者血管再通治疗后早期神经功能恶化的影响因素分析[J].河北医学,2021,27(11):1801-1806.
[15] 贾建平.神经病学[M].北京:人民卫生出版社,2013:170.
[16] 王方圆,傅丽伟,孙志萍.基于应激系统理论的护理模式联合感觉运动训练对脑梗死恢复期患者的应用[J].中国医药导报,2022,19(4):190-193.
[17] 王建宇,张莉,高倩,等.丁苯酞注射液治疗急性进展性脑梗死病人的临床疗效及机制研究[J].安徽医药,2022, 26(1):179-183.
[18] 姚奇标.丁苯酞软胶囊联合依达拉奉用于临床治疗脑梗死的疗效分析[J].中国医药科学,2020,10(6):50-52.
[19] 中国中西医结合学会神经科专业委员会.中国脑梗死中西医结合诊治指南(2017)[J].中国中西医结合杂志,2018,38(2):136-144.
[20] 蒙迪,黄微,谭峰.丁苯酞软胶囊联合阿司匹林治疗急性脑梗死的临床效果及其机制研究[J].中国医药,2021, 16(1):63-66.
[21] 李苏苏,贾浩延.丁苯酞联合抗凝调脂药物对急性脑梗死患者脑血流动力学的影响[J].中国医药科学,2022, 12(18):70-73.
[22] 梁创雄.中医药治疗脑梗死的研究进展[J].广西中医药大学学报,2021,24(2):70-74.
[23] 徐焕杰,周业渊,黄英媛,等.加味补中益气汤、针灸联合常规治疗对气虚血瘀型脑梗死患者的临床疗效[J].中成药,2020,42(12):3184-3188.
[24] 翟飞鹏,孙雅轩,蔚洪恩,等.蛭芎胶囊对大脑中动脉重度狭窄或闭塞病人侧支循环的影响[J].中西医结合心脑血管病杂志,2019,17(8):1246-1248.
[25] 刘环环,李本志,高爱华,等.脑梗死急性期合并高血压患者中医病性证素分布规律研究[J].河北医学,2021, 27(10):1616-1621.
[26] 金孟浩,吴丽君,孙孟坊,等.研究NSE,白介素6,超敏CRP等在脑组织损伤中的意义[J].浙江创伤外科,2019, 24(2):216-219.
[27] 刘绍权.血清MMP-9、VEGF水平对脑梗死患者神经损伤程度的影响[J].医药论坛杂志,2021,42(18):101-104.
[28] 晏立娜,李佳艳,陈奕菲,等.血清IL-6、SDF-1水平与急性脑梗死患者rt-PA静脉溶栓治疗短期预后的相关性[J].疑难病杂志,2021,20(12):1229-1233.
[29] 高靖,王秀艳,杨红梅,等.急性缺血性脑卒中患者血清SDF-1、UCH-L1水平变化及其与病情程度和预后的关系[J].山东医药,2021,61(25):46-48. |
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