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纸质出版日期:2018
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易兰, 王莉, 付阿丹, 等. 丹参注射液对糖尿病合并下肢血管病变患者血管舒张功能及炎症指标的影响[J]. 中国实验方剂学杂志, 2018,24(23):183-188.
YI Lan, WANG Li, FU A-dan, et al. Effect of Danshen Injection on Vasodilatation and Inflammation in Patients with Diabetes Mellitus Combined with Lower Extremity Vascular Disease[J]. Chinese journal of experimental traditional medical formulae, 2018, 24(23): 183-188.
易兰, 王莉, 付阿丹, 等. 丹参注射液对糖尿病合并下肢血管病变患者血管舒张功能及炎症指标的影响[J]. 中国实验方剂学杂志, 2018,24(23):183-188. DOI: 10.13422/j.cnki.syfjx.20182132.
YI Lan, WANG Li, FU A-dan, et al. Effect of Danshen Injection on Vasodilatation and Inflammation in Patients with Diabetes Mellitus Combined with Lower Extremity Vascular Disease[J]. Chinese journal of experimental traditional medical formulae, 2018, 24(23): 183-188. DOI: 10.13422/j.cnki.syfjx.20182132.
目的:探讨和分析丹参注射液在糖尿病合并下肢血管病变患者中的临床应用价值和意义。方法:选取2015年1月至2016年12月本院所收治的136例糖尿病合并下肢血管病变患者作为临床研究对象,采用随机数字表法将入选患者随机分为观察组(69例)和对照组(67例),对照组糖尿病合并下肢血管病变患者给予α-硫辛酸的临床药物治疗,观察组糖尿病合并下肢血管病变患者在对照组的基础上加用丹参注射液,分别对两组糖尿病合并下肢血管病变患者临床治疗情况,血管舒张功能变化,血流动力学变化,炎症指标变化,不良反应发生情况进行比较和分析。结果:与对照组治疗后比较,观察组糖尿病合并下肢血管病变患者临床治疗的显效率50.72%(35/69),总有效率95.65%(66/69)均明显提高,无效率4.35%(3/69)明显降低(P<0.05);观察组糖尿病合并下肢血管病变治疗后肱动脉内皮依赖性血管舒张功能(FMD)(5.31±0.64)%和踝肱指数(ABI)(0.99±0.12)均明显提高(P<0.05);观察组糖尿病合并下肢血管病变患者治疗后血管内径(1.70±0.28)mm,血流速度(52.29±6.34)min·s-1,血流量(24.39±3.54)mL·min-1均明显增加(P<0.05);观察组糖尿病合并下肢血管病变患者治疗后C反应蛋白(CRP)(5.46±0.65)mg·L-1,白细胞介素(IL)-6(81.84±9.29)μg·L-1,肿瘤坏死因子(TNF)-α(11.53±2.26)μg·L-1水平明显降低(P<0.05);观察组糖尿病合并下肢血管病变患者恶心呕吐、头胀头痛、腹痛腹泻等不良反应总发生率8.70%(6/69),较对照组有所上升,差异不具有统计学意义。结论:丹参注射液在辅助治疗糖尿病合并下肢血管病变的过程中,能够有效改善患者的血管舒张功能及血流动力学指标,全面调节患者的炎症因子,从而提升患者的临床治疗效果。
Objective:To explore and analysis the value and significance of the combined application of Danshen injection on vasodilatation and inflammation in patients with diabetes mellitus combined with lower extremity vascular disease. Method:A total of 136 patients with diabetes mellitus combined with lower extremity vascular disease treated in our hospital from January 2015 to December 2016 were selected as clinical research subjects. By the random number table method
the patients were randomly divided into observation group (69 cases) and control group (67 cases). The patients with diabetes mellitus combined with lower extremity vascular disease in control group were treated with α-lipoic acid. The patients with diabetes mellitus combined with lower extremity vascular disease in observation group were treated with Danshen injection in addition to the therapy of control group. The clinical treatment
changes in vasodilation
hemodynamic changes
changes in inflammatory markers
adverse reactions of the patients with diabetes mellitus combined with lower extremity vascular disease in the two groups were compared and analyzed. Result:Compared with control group
the effective rate of clinical treatment in observation group was 50.72% (35/69)
and the total effective rate was 95.65% (66/69)
indicating a significant increase
while the inefficiency rate was 4.35% (3/69)
indicating a significant decrease. There were statistically significant differences (P<0.05). In observation group
flow-mediated dilatation (FMD) was (5.31±0.64)% and ankle brachial index (ABI) was (0.99±0.12)
with statistically significant differences (P<0.05); the intravascular diameter was (1.70±0.28) mm
the blood flow velocity was (52.29±6.34)min·s-1
and the blood flow volume was (24.39±3.54) mL·min-1
with statistically significant differences (P<0.05); C-reactive protein (CRP) was (5.46±0.65) mg·L-1
interleukin (IL)-6 was (81.84±9.29) μg·L-1 and tumor necrosis factor (TNF) -α was (11.53±2.26) μg·L-1
with statistically significant differences (P<0.05); total incidence of adverse reactions was 8.70% (6/69)
including nausea and vomiting
headbilges and headache
abdominal pain and diarrhea
with statistically significant differences. Conclusion:In the process of the adjuvant treatment for the patients with diabetes mellitus combined with lower extremity vascular disease with Danshen injection
Danshen injection could effectively alleviate the patients' vasodilatation and hemodynamic indicators
and regulate the patient's inflammatory cytokines in an all-round way
so as to enhance the patients' clinical treatment.
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