中西医结合治疗对脑动脉硬化患者的血流变学的影响  

Integrative Therapy on Blood Rheology of Patients with Cerebral Arteriosclerosis

作　　者：邹小冬[1] 胡智伟[1] 

机构地区：[1]浙江省立同德医院,浙江杭州310012

出　　处：《中华中医药学刊》2015年第2期510-512,共3页Chinese Archives of Traditional Chinese Medicine

摘　　要：目的:探讨中西医结合治疗对脑动脉硬化患者的血流变学的影响,为临床诊断治疗提供参考。方法:将本组94例脑动脉硬化患者根据随机数字表法将其随机分为治疗组(n=47)和对照组(n=47);对照组给予西药治疗,治疗组在对照组治疗基础上服用自拟中药汤剂;两组治疗均以4周为1个疗程;疗程结束后对比分析两组患者临床疗效、血流变学指标、血脂水平。结果:治疗组治疗后总有效率(93.62%)显著高于对照组(76.60%),且有显著性差异(P<0.05);两组治疗后血流变学较治疗前有显著性改善,且差异统计具有显著性意义(P<0.05);治疗组治疗后血流变学指标改善水平显著优于对照组治疗后,且差异统计具有显著性意义(P<0.05);两组治疗后血脂水平有显著性改善,且差异统计具有显著性意义(P<0.05);治疗组治疗后血脂改善水平显著优于对照组,且差异统计具有显著性意义(P<0.05)。结论:中西医结合治疗对脑动脉硬化疗效显著,能明显改善血流变水平及血脂水平,具有重要的研究价值,值得在临床上推广使用。Objective： To investigate the influence of the combination therapy of cerebral arteriosclerosis on blood rheology and to provide a reference for clinical diagnosis and treatment. Methods： 94 cases of cerebral arteriosclerosis patients according to a random number table were randomly divided into treatment group（ n = 47） and control group（ n = 47）.The western medicine was used in the control group and the treatment group on the basis took the self- made decoction.Four weeks was for a course. The clinical efficacy of the two groups,blood rheology indexes and lipid levels were compared. Results： After treatment,the treatment group＇s total efficiency（ 93. 62%） was significantly higher than that of the control group（ 76. 60%） and there was a significant difference（ P 〈0. 05）. The blood rheology after treatment in the treatment group was significantly improved than that before treatment and the difference was significant（ P 〈0. 05）. The blood rheology indicators of treatment group were significantly better than those of the control group after treatment and the difference was significant（ P〈 0. 05）. After treatment,blood lipids had a significant improvement and the difference was significant（ P〈 0. 05）. The blood lipid levels improvement after treatment was significantly better than that of the control group and the difference was significant（ P〈 0. 05）. Conclusion： The combination therapy of cerebral arteriosclerosis has significant effect and can significantly improve blood flow and blood lipid levels. It has important research value and should be introduced in clinical practice.

关 键 词：中西医结合 脑动脉硬化 血流变学 

分 类 号：R743.1[医药卫生—神经病学与精神病学]