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机构地区:[1]四川德阳市人民医院神经内科,四川德阳618000
出 处:《成都中医药大学学报》2012年第3期34-36,共3页Journal of Chengdu University of Traditional Chinese Medicine
基 金:国家"十一五"科技支撑计划课题(编号:2007BAI18B13)
摘 要:目的:观察三七通舒胶囊治疗慢性脑血管功能不全(CCVI)的临床疗效及其对脑血流储备功能的影响。方法:用TCD屏气实验测定了临床确诊的142 CCVI患者及140例健康体检者的屏气指数(BHI)。并将CCVI患者随机分为对照组(68例)和治疗组(74例),对照组口服曲克芦丁,治疗组口服三七通舒胶囊,疗程为4 W,治疗结束复查TCD屏气实验,观察两组临床症状疗效及脑血流储备功能的变化。结果:CCVI患者BHI(0.81+0.21)显著低于健康体检者(1.12+0.27,P<0.01),治疗组治疗后BHI(0.95+0.19)明显高于治疗前(0.82+0.20,P<0.01),对照组治疗后BHI(0.83+0.20)与治疗前(0.81+0.19)比较差异无显著性(P>0.05)。治疗组临床症状总有效率为80.88%,显著优于对照组的48.65%(P<0.05)。结论:三七通舒胶囊治疗慢性脑血管功能不全疗效确切,能明显改善CCVI患者的脑血流储备功能。Objective: To observe the effect of San-qi-tong-shu capsule on chronic cerebral vascular insufficiency (CCVI) and the change of its cerebral vascular reserve capacity. Methods: The breath holding index (BHI) of 142 patients with CCVI and 140 healthy were observed by TCD Breath holding test. Patiefnts with CCVI were randomly divided into two groups : treatment group ( n = 68) and control group ( n = 74) . Patients in treatment group were treated by San-qi-tong-shu capsule ; patients in control group were treated by Troxerutin. The course was 30 days in two groups. BHI were observed before and after treatment. Results: There were high significant differences between patients with CCVI (0. 81 +0. 21 ) and healthy (0. 82 +0.20, P 〈0. 01 ) BHI. There were high signif- icant differences between before treatment (0. 82 +0. 20) and after treatment (0. 95 +0. 19, P 〈0. 01 ) in treatment group, But no significant differences between before treatment (0. 81 +0. 19) and after treatment (0. 83 +0. 20, P 〉0. 05 ) in control group. The accumulated effective rate of treatment group (80. 88% ) was significant higher than control group (48. 65%, P 〈0.05) . Conclu- sion: Sanqi-Tongshu capsule have definite effect for relieve clinical symptoms and improve cerebral vascular reserve capacity in CCVI patients.
关 键 词:慢性脑血管功能不全 经颅多普勒脑血流储备屏气指数
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