疏血通对糖尿病并发脑梗死的治疗效果及血液流变学的影响  

Influence on the hemarheology and the clinical effects for the patients with diabetes complicated with cerebral infarction by Shuxuetong injection

作　　者：梁廷营[1] 

机构地区：[1]郑州大学第五附属医院康复医学科,郑州450052

出　　处：《中国实用神经疾病杂志》2016年第23期15-17,共3页Chinese Journal of Practical Nervous Diseases

摘　　要：目的探讨疏血通对糖尿病并发脑梗死的治疗效果及血液流变学的影响。方法选取我院2011-05—2015-03收治的98例糖尿病并发脑梗死患者为研究对象。按照入院顺序随机均分为实验组和对照组,对照组采取盐酸丁咯地尔、胞二磷胆碱、尼膜同治疗,控制血糖。实验组在对照组的基础上采取疏血通注射液治疗。观察疗效、中医证候积分、NIHSS评分、ADL评分、血液流变学变化情况。结果实验组总有效率93.88%,高于对照组的77.55%(P<0.05);实验组治疗后中医证候积分、NIHSS评分、全血黏度(低切)、全血黏度(高切)、血浆黏度低于治疗前和对照组(P<0.05);对照组治疗后中医证候积分、NIHSS评分、全血黏度(低切)、全血黏度(高切)、血浆黏度低于治疗前(P<0.05)。实验组治疗后ADL评分高于治疗前和对照组(P<0.05);对照组治疗后ADL评分高于治疗前(P<0.05)。结论疏血通对糖尿病并发脑梗死的治疗效果较好,能够有效改善患者血液流变学,临床应用价值较高。Objective To explore the influence on the hemarheology and clinical effects for the patients with diabetes complicated with cerebral infarction by Shuxuetong injection. Methods Ninety-eight patients with diabetes complicated with cerebral infarction were randomly divided into experiment group and control group, the control group was treated by bullomedil hydrochloride, citicoline, nimotop, and control blood glucose. On the basis of the control group, the experiment group was trea ted by Shuxuetong injection. The clinical effects,TCM syndrome scoring, NIHSS scores, ADL scores, hemorheology were ob- served. Results The total effective rate for the experiment group（93.88%）were higher than the control group（77.55%）（P〈 0.05）. The TCM syndrome scoring, NIHSS scores, whole blood viscosity, plasma viscosity for the experiment group were low- er than those before treatment and the control group（P〈0.05）. The TCM syndrome scoring,NIHSS scores,whole blood vis- cosity,plasma viscosity for the control group were lower than those before treatment（P〈0.05）. The ADL scores for the ex periment group were higher than those before treatment and the control group（P〈0.05）. The ADL scores for the control group were higher than those before treatment（P〈0.05）. Conclusion It has good clinical effects for the patients with diabetes complicated with cerebral infarction by Shuxuetong injection. It can improve the hemarheology and has high values for clinical application.

关 键 词：糖尿病 脑梗死 疏血通 血液流变学 

分 类 号：R743.33[医药卫生—神经病学与精神病学]