摘要
目的:探讨通络逐瘀汤联合血管内介入治疗对急性脑梗死患者侧支循环及血管再通的影响。方法:选取2020年1月—2023年1月三明市沙县区中医医院收治的100例急性脑梗死患者,随机分为单一组(n=50)和联合组(n=50)。单一组应用血管内介入治疗,联合组在单一组基础上联合通络逐瘀汤治疗。比较两组疗效、神经功能缺损程度、日常生活能力、侧支循环情况、视觉模拟评分法(VAS)及血管再通率。结果:联合组临床总有效率高于单一组,差异有统计学意义(P<0.05)。治疗前,两组神经功能缺损程度、日常生活能力相比,差异均无统计学意义(P>0.05);治疗后,两组神经功能缺损程度较治疗前均降低,联合组较单一组低;两组日常生活能力均提高,联合组较单一组高,差异均有统计学意义(P<0.05)。治疗前,两组侧支循环数及VAS评分相比,差异均无统计学意义(P>0.05);治疗后,两组VAS评分较治疗前均减小,联合组较单一组低;侧支循环数均提高,联合组较单一组高,差异均有统计学意义(P<0.05)。联合组血管完全再通率高于单一组,差异有统计学意义(P<0.05)。结论:通络逐瘀汤联合血管内介入治疗用于急性脑梗死患者可改善患者神经功能,提高血管再通率及侧支循环,效果确切。
Objective:To explore the effect of Tongluo Zhuyu Decoction combined with intravascular intervention therapy on collateral circulation and vascular recanalization in patients with acute cerebral infarction.Method:A total of 100 patients of acute cerebral infarction admitted to Shaxian Traditional Chinese Medicine Hospital in Sanming from January 2020 to January 2023 were selected,they were randomly divided into a single group(n=50)and a combination group(n=50).The single group was treated with intravascular intervention,while the combined group was treated with Tongluo Zhuyu Decoction on the basis of the single group.The efficacy,degree of neurological impairment,daily living ability,collateral circulation,visual analogue scale(VAS),and vascular recanalization rate between the two groups were compared.Result:The total clinical effective rate of the combined group was higher than that of the single group,the difference was statistically significant(P<0.05).Before treatment,there were no statistically significant differences in the degree of neurological dysfunction and daily living ability between the two groups(P>0.05);after treatment,the degree of neurological deficits in both groups decreased compared to before treatment,and that in the combined group was lower than that in the single group;daily living abilities in both groups were higher,that in the combined group were higher than that in the single group,the differences were statistically significant(P<0.05).Before treatment,there were no statistically significant differences in the number of collateral circulation and VAS scores between the two groups(P>0.05);after treatment,the VAS scores of both groups decreased compared to before treatment,and that in the combined group was lower than that in the single group;the number of collateral circulation increased,and that in the combined group was higher than that in the single group,the differences were statistically significant(P<0.05).The complete reperfusion rate of the combined group was higher than that of
作者
陈小妹
倪健
CHEN Xiaomei;NI Jian(Department of Internal Medicine,Shaxian Traditional Chinese Medicine Hospital in Sanming,Sanming 365500,China;不详)
出处
《中国医学创新》
CAS
2024年第13期101-104,共4页
Medical Innovation of China
关键词
急性脑梗死
通络逐瘀汤
血管内介入
侧支循环
血管再通
Acute cerebral infarction
Tongluo Zhuyu Decoction
Intravascular intervention
Collateral circulation
Vascular recanalization
