中药益气活血法对缺血性脑卒中微栓子的调节作用  

Regulatory Effect of Traditional Chinese Medicine Supplementing Qi and Activating Blood on Microemboli in Ischemic Stroke

作　　者：吴海波[1] 张云云[1] 陈磊[1] 王晔[1] 龙燮[1] 甄晓敏[1] 

机构地区：[1]上海中医药大学附属岳阳中西医结合医院

出　　处：《中西医结合心脑血管病杂志》2014年第5期578-579,共2页Chinese Journal of Integrative Medicine on Cardio-Cerebrovascular Disease

基　　金：上海市教委优秀青年教师资助课题(No.SZY10082)

摘　　要：目的观察中药益气活血法对于微栓子(MES)阳性脑梗死患者的治疗效果。方法将80例微栓子阳性脑梗死患者随机分为治疗组和对照组,每组40例。在共同内科药物、康复治疗基础上,治疗组给予中药益气活血法治疗,对照组给予安慰剂治疗。2周后观察微栓子数目变化并评价疗效。结果治疗后微栓子数目观察,治疗组(12.725±4.176)个和对照组(15.025±6.049)个明显减少,治疗组效果优于对照组(P<0.05)。治疗后美国国立卫生院卒中量表(NIHSS)评分观察,治疗组和对照组明显减少(9.201分±4.937分vs 9.450分±4.668分,P<0.05),治疗组效果优于对照组(P<0.05)。结论中医益气活血法能明显减少缺血性脑卒中患者颅内微栓子数目,可能因此改善患者最终疗效。Objective To observe the therapeutic effect of benefiting qi for activating blood circulation on microemboli of cerebral infarction.Methods Eighty cerebral infarction patients with positive microemboli were divided randomly into treatment group （n=40）treated with traditional Chinese Medicine “benefiting qi for activating blood circulation”and control group treated with placebo. All patients treated with the same internal medicine and rehabilitation therapy.Results The number of microemboli in both groups were decreased significantly （P〈0.05）,and that in the treatment group was better than that in control group （P〈0.05）.Curative effect in both groups were effective significantly （P〈0.05）,and that in treatment group was better than that in control group （P〈0.05）. Conclusion Traditional Chinese medicine Supplementing Qi and activating blood circulation could significantly reduce the number of microemboli in patients with ischemic stroke patients and improve patient prognosis.

关 键 词：脑梗死 微栓子 益气活血 中药 随机对照试验 美国国立卫生院卒中量表 

分 类 号：R277.7[医药卫生—中医学]