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纸质出版日期:2014
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郭磊, 冯东泽, 张保朝, 等. 疏血通注射液对急性脑梗死患者血脂的影响及作用机制[J]. 中国实验方剂学杂志, 2014,20(14):197-200.
GUO Lei, FENG Dong-ze, ZHANG Bao-chao, et al. Influence Shuxue Tong Injection to Patients' Blood Lipid in Treating Acute Cerebral Infarction and Its' Mechanism of Action[J]. Chinese journal of experimental traditional medical formulae, 2014, 20(14): 197-200.
郭磊, 冯东泽, 张保朝, 等. 疏血通注射液对急性脑梗死患者血脂的影响及作用机制[J]. 中国实验方剂学杂志, 2014,20(14):197-200. DOI: 10.13422/j.cnki.syfjx.2014140197.
GUO Lei, FENG Dong-ze, ZHANG Bao-chao, et al. Influence Shuxue Tong Injection to Patients' Blood Lipid in Treating Acute Cerebral Infarction and Its' Mechanism of Action[J]. Chinese journal of experimental traditional medical formulae, 2014, 20(14): 197-200. DOI: 10.13422/j.cnki.syfjx.2014140197.
目的: 探讨疏血通注射液对急性脑梗死患者血脂的干预作用及血清超敏C-反应蛋白(hs-CRP)、脂联素(APN)、氧化低密度脂蛋白(ox-LDL)和肿瘤坏死因子-α(TNF-α)的影响。 方法: 67例患者采用随机按住院前后分为对照组22例和观察组45例。对照组给予西医常规治疗,降脂采用阿托伐他汀钙片,10 mg/次,1次/d,晚饭后服用。观察组在对照组治疗的基础上加用疏血通注射液,6 mL/次,静脉滴注,1次/d,两组疗程均为14 d。于第0,7,14天评价采用美国国立卫生院卒中(NIHSS)量表评估神经功能缺损严重程度;检测治疗前后甘油三酯(TG)、总胆固醇(TC)、高密度脂蛋白胆固醇(HDL-C)及低密度脂蛋白胆固醇(LDL-C)水平;采用酶联免疫吸附法检测超敏hs-CRP,APN,ox-LDL和TNF-α;进行治疗前后血液流变学检测。 结果: 治疗后7 d,两组NIHSS评分均较治疗前下降(P<0.01),组间比较差异无统计学意义;治疗后14 d,两组NIHSS评分继续下降(P<0.01),观察组NIHSS评分低于对照组(P<0.01);两组治疗后血清hs-CRP,ox-LDL和TNF-α水平均较治疗前下降(P<0.01),观察组低于对照组(P<0.01);两组治疗后血清APN水平均较治疗前上升(P<0.01),观察组高于对照组(P<0.01);两组TC,TG和LDL-C水平均较治疗前明显下降(P<0.01),观察组TC和TG水平低于对照组(P<0.01);两组治疗后HDL-C水平较治疗前升高(P<0.01),组间比较差异无统计学意义;观察组全血黏度、血小板聚集率、血浆黏度及红细胞压积的改善优于对照组(P<0.01)。 结论: 疏血通注射液对急性脑梗死患者神经功能有改善作用,并能改善患者脂代谢,具有多靶点效应及抗炎、抗氧化、改善脑微循环等作用。
Objective: Discuss intervention effect of Shuxue Tong injection to patients' blood lipid in treating acute cerebral infarction and influence to serum high sensitivity C-reactive protein(hs-CRP)
adiponectin(APN)
oxidized low-density lipoprotein(ox-LDL) and tumor necrosis factor-α(TNF-α). Method: Sixty-seven patients were randomly divided into control group (22 cases) and observation group (45 cases)by random number table.Patients in the control group received conventional western medicine treatment
and atorvastatin calcium tablets were used as medicine of reducing lipid
10 mg/time
1 time/day
taken orally after dinner.Based on the treatment of control group
patients in the observation group added Shuxue Tong injection
6 mL/time
intravenous infusion
1 time/day
course of treatment were 14 days.On day 0 and at the seventh and fourteenth day after treatment
severity of neurological impairment was evaluated by National Institute of Health Stroke Scale(NIHSS) scale.Triglyceride(TG)
level of total cholesterol(TC)
high-density lipoprotein(HDL-C) and low density lipoprotein(LDL-C) were detected.hs-CRP was detected by enzyme linked immunosorbent assay.APN
ox-LDL and TNF-α were detected.Before and after treatment
hemorheology was detected. Result: At the seventh day after treatment
compared with the time before treatment
scores of NIHSS in two groups decreased(P<0.01)
which meant no statistical significance from the differences between two groups.At the fourteenth day after treatment
scores of NIHSS in two groups kept decreasing(P<0.01)
and score of NIHSS in observation group was lower than in control group(P<0.01).Compared with the time before treatment
levels of serum hs-CRP
ox-LDL and TNF-α decreased(P<0.01)
and which in observation group were lower than those in control group(P<0.01).Compared with the time before treatment
levels of serum APN in two groups increased(P<0.01)
and which in observation group was higher than in control group(P<0.01).Levels of TC
TG and LDL-C in two groups decreased obviously(P<0.01)
and levels of TC and TG in observation group were lower than those in control group(P<0.01).Levels of HDL-C in two groups increased(P<0.01)
and there was no statistical significance from the differences between two groups.Amelioration of whole blood viscosity
aggregation rate of platelet
plasma viscosity and hematokrit in observation group was superior to those in control group(P<0.01). Conclusion: Shuxue Tong injection can ameliorate patients' neurological function in treating acute cerebral infarction and patients' lipid metabolism
and it has functions of anti-inflammatory
antioxidant and ameliorating cerebral microcirculation.
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