首乌活血颗粒联合双联抗血小板治疗大动脉粥样硬化性脑梗死的临床观察

Clinical observation of Shouwu Huoxue Granules combined with dual antiplatelet in treatment of large atherosclerotic cerebral infarction

  • 摘要:
      目的  观察首乌活血颗粒联合双联抗血小板治疗大动脉粥样硬化性脑梗死(ATCI)的临床效果。方法选取127例ATCI患者为研究对象,根据随机数字表法分为对照组(63例,双联抗血小板治疗)和观察组(64例,首乌活血颗粒联合双联抗血小板治疗),均治疗21 d; 治疗结束后,评估并比较2组疗效; 治疗前、治疗21 d, 评估并比较2组症候积分,检测2组血脂水平与炎症指标; 记录2组治疗期间不良反应。
      结果  观察组整体疗效优于对照组,总有效率高于对照组,差异有统计学意义(P < 0.05); 治疗21 d, 观察组症候积分、低密度脂蛋白胆固醇(LDL-C)、总胆固醇(TC)、甘油三酯(TG)、白细胞介素-6(IL-6)、C反应蛋白(CRP)水平均低于对照组,差异有统计学意义(P < 0.05); 2组不良反应总发生率比较,差异无统计学意义(P>0.05)。
      结论  ATCI患者采用首乌活血颗粒联合双联抗血小板治疗效果较好,可降低血脂水平、炎症指标水平,且安全性好。

     

    Abstract:
      Objective  To observe the clinical effect of Shouwu Huoxue Granules combined with dual antiplatelet therapy in treatment of large atherosclerotic cerebral infarction (ATCI).
      Methods  A total of 127 ATCI patients were selected. According to the random number table method, they were divided into control group (63 cases, dual antiplatelet for treatment) and observation group (64 cases, Shouwu Huoxue granule combined dual antiplatelet for treatment), both groups were treated for 21 days; at the end of treatment, the efficacy of the two groups was evaluated and compared; the syndrome scores of the two groups were evaluated and compared before treatment and 21 days after treatment, the blood lipid levels and inflammatory indexes of the two groups were detected; the occurrence of adverse reactions during treatment of two groups was recorded.
      Results  The overall efficacy of the observation group was better than that of the control group, and the total effective rate was higher than that of the control group (P < 0.05); after 21 days of treatment, the syndrome scores, low density lipoprotein cholesterol (LDL-C), total cholesterol (TC), triglyceride (TG), interleukin-6 (IL-6) and C-reactive protein (CRP) levels of the observation group were lower than those of the control group (P < 0.05); the total incidence of adverse reactions of both groups showed no significant difference (P>0.05).
      Conclusion  The combination of Shouwu Huoxue Granules and dual antiplatelet in the treatment of ATCI patients has better effect, which reduce the levels of blood lipid and inflammatory indexes, and has high safety.

     

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