藏红花应用于中风后遗症恢复治疗的价值  

The value of saffron in the rehabilitation of sequela of apoplexy

作　　者：温彬[1] 康丽娟[1] 靳丽丽[1] WEN Bin;KANG Lijuan;JIN Lili(Department of Emergency,Baoding First Central Hospital,Hebei Province,Baoding071000,China)

机构地区：[1]河北省保定市第一中心医院急诊科,河北保定071000

出　　处：《中国医药导报》2020年第31期150-153,共4页China Medical Herald

基　　金：河北省中医药管理局科研计划项目(2019367)。

摘　　要：目的探究藏红花对中风后遗症恢复治疗的应用价值。方法选取2018年1月—2019年12月于河北省保定市第一中心医院就诊的中风后遗症患者120例作为研究对象,按照随机数字表法将其分为常规组和藏红花组,每组各60例。常规组进行常规标准化治疗,藏红花组在常规组的基础上添加藏红花治疗。治疗8周后,比较两组患者的治疗效果,包括美国国立卫生研究院卒中量表(NIHSS)评分,日常生活活动(ADL)评分,血液流变学指标[红细胞比容、红细胞沉降率、纤维蛋白原、全血黏度(低切)、全血黏度(高切)、血小板聚集指数]和治疗效果。结果治疗后,两组患者NIHSS评分均明显低于治疗前,且治疗后藏红花组的NIHSS评分明显低于常规组的评分(P<0.05)。治疗后,两组患者ADL评分均明显高于治疗前;且治疗后藏红花组的ADL评分明显高于常规组(P<0.05)。治疗后,藏红花组的红细胞比容、红细胞沉降率、纤维蛋白原、全血黏度(低切)、全血黏度(高切),血小板聚集指数等血液流变学指标均明显低于常规组(P<0.05)。与治疗前比较,常规组患者治疗后的红细胞比容、红细胞沉降率、纤维蛋白原均明显降低,藏红花组各项血液流变学指标均明显降低(P<0.05)。藏红花组总有效率均明显高于常规组(P<0.05)。结论藏红花可明显提高中风后遗症患者的神经功能,提高患者日常生活能力,有效降低患者红细胞比容、红细胞沉降率、纤维蛋白原、全血黏度(低切)、全血黏度(高切)、血小板聚集指数等血液流变学指标,提高患者的治疗效果,值得在临床推广使用。Objective To explore the value of saffron in the treatment of rehabilitation of sequela of apoplexy.Methods A total of 120 patients with sequela of apoplexy who were treated at the Baoding First Central Hospital from January 2018 to December 2019 were selected as the research objects.According to the random number table method,they were divided into the conventional group and the saffron group,with 60 cases in each group.The conventional group received routine standardized treatment,and the saffron group added saffron treatment on the basis of the conventional group.After eight weeks of treatment,the treatment effects of the two groups were compared,including the National Institutes of Health Stroke Scale(NIHSS)score,activities of daily living(ADL)score,hemorheological indicators[hematocrit,erythrocyte sedimentation rate,fibrinogen,whole blood viscosity(low cut),whole blood viscosity(high cut),platelet aggregation index]and therapeutic efficacy.Results After treatment,the NIHSS scores of the two groups were significantly lower than before treatment,and the saffron group was significantly lower than that of the conventional group(P<0.05).After treatment,the ADL scores of the two groups were significantly higher than those before treatment;and the saffron group was significantly higher than that of the conventional group(P<0.05).After treatment,the hematocrit,erythrocyte sedimentation rate,fibrinogen,whole blood viscosity(low cut),whole blood viscosity(high cut),platelet aggregation index and other hemorheological indicators of the saffron group were significantly lower than those of the conventional group(P<0.05).Compared with before treatment,the hematocrit,erythrocyte sedimentation rate and fibrinogen of patients in the conventional group were significantly reduced after treatment,and all hemorheological indexes in the saffron group were significantly reduced(P<0.05).The total effective rate of the saffron group was significantly higher than that of the conventional group(P<0.05).Conclusion Saffron can significa

关 键 词：中风 藏红花 后遗症 预后 效果 

分 类 号：R277.7[医药卫生—中医学]