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通窍活血汤加减治疗顽固性偏头痛的临床观察 被引量:9
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作者 司衍学 乔建华 薛伶俐 《中国社区医师(医学专业)》 2014年第21期91-92,共2页
目的:观察通窍活血汤加减治疗顽固性偏头痛的临床疗效。方法:将47例患者随机分为两组,治疗组24例采用通窍活血汤加减治疗;对照组23例采用西药对症治疗。结果:治疗组治愈率58.3%,总有效率91.7%;对照组治愈率26.1%,总有效率60.9%。两组比... 目的:观察通窍活血汤加减治疗顽固性偏头痛的临床疗效。方法:将47例患者随机分为两组,治疗组24例采用通窍活血汤加减治疗;对照组23例采用西药对症治疗。结果:治疗组治愈率58.3%,总有效率91.7%;对照组治愈率26.1%,总有效率60.9%。两组比较,治愈率、总有效率差异有统计学意义(P<0.05)。结论:通窍活血汤加减治疗顽固性偏头痛有较好的临床疗效。 展开更多
关键词 通窍活血汤 麦角胺咖啡因片 尼莫地平 瘀血头痛 中医药疗法
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通窍活血汤联合阿托伐他汀治疗对缺血性脑卒中脑动脉狭窄患者临床疗效的影响 被引量:14
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作者 东潇博 宋崇文 +4 位作者 王革生 张凡帆 宋光荣 蔡旭 王雷 《实用医院临床杂志》 2020年第6期3-6,共4页
目的分析通窍活血汤联合阿托伐他汀治疗对缺血性脑卒中脑动脉狭窄患者临床疗效的影响。方法112例缺血性脑卒中脑动脉狭窄患者,按照治疗方式分为联合组和对照组各56例。对照组口服阿托伐他汀钙片及阿司匹林肠溶片,联合组在对照组基础上... 目的分析通窍活血汤联合阿托伐他汀治疗对缺血性脑卒中脑动脉狭窄患者临床疗效的影响。方法112例缺血性脑卒中脑动脉狭窄患者,按照治疗方式分为联合组和对照组各56例。对照组口服阿托伐他汀钙片及阿司匹林肠溶片,联合组在对照组基础上增服通窍活血汤。比较两组临床疗效、治疗前后血脂[甘油三酯(TG)、胆固醇(CHOL)及低密度脂蛋白胆固醇(LDL-C)]及炎性因子[C反应蛋白(CRP)、白细胞介素6(IL-6)及肿瘤坏死因子α(TNF-α)]水平、治疗期间不良反应发生情况。结果联合组临床总有效率高于对照组(P<0.05);治疗后两组CRP、IL-6、TNF-α、TG、CHOL及LDL-C水平均下降,联合组均低于对照组(P<0.05);两组治疗期间不良反应发生率比较差异无统计学意义(P>0.05)。结论通窍活血汤联合阿托伐他汀治疗可降低缺血性脑卒中脑动脉狭窄患者血脂水平,减轻炎症反应,临床疗效佳且安全性高。 展开更多
关键词 通窍活血汤 阿托伐他汀 缺血性脑卒中 血脂
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通窍活血汤对脑缺血再灌注小鼠血脑屏障通透性及脑内单胺类神经递质含量的影响 被引量:10
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作者 刘亚芳 汪宁 《安徽医药》 CAS 2015年第5期842-845,共4页
目的观察通窍活血汤(TQHXD)对脑缺血再灌注损伤小鼠血脑屏障(BBB)通透性及脑组织中单胺类神经递质的影响。方法将昆明种小鼠随机分为假手术组,模型组,尼莫地平组,脑脉泰组,通窍活血汤低、中、高剂量组(分别为3.85,7.7,15.4g·kg-1)... 目的观察通窍活血汤(TQHXD)对脑缺血再灌注损伤小鼠血脑屏障(BBB)通透性及脑组织中单胺类神经递质的影响。方法将昆明种小鼠随机分为假手术组,模型组,尼莫地平组,脑脉泰组,通窍活血汤低、中、高剂量组(分别为3.85,7.7,15.4g·kg-1)。于给药第7天采用双侧颈总动脉结扎法制造急性脑缺血再灌注模型,通过测定渗出脑血管外的伊文思蓝含量分析药物对BBB通透性的影响,及采用酶联免疫法(ELISE)测定脑组织中单胺类神经递质去甲肾上腺素(NE)、多巴胺(DA)和5-羟色胺(5-HT)的含量。结果 TQHXD各剂量组均能降低小鼠脑中伊文思蓝的含量,且均能阻止脑损伤后单胺类神经递质的降低。结论 TQHXD对脑缺血再灌注模型小鼠有一定的保护作用。 展开更多
关键词 通窍活血汤 急性脑缺血再灌注 血脑屏障通透性 单胺类神经递质
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Effect of Tong-Qiao-Huo-Xue decoction on the expressions of related proteins of the blood-brain barrier and analysis of constituents in cerebrospinal fluid of cerebral ischemic rats 被引量:1
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作者 Ning WANG Li-li LI +3 位作者 Qi-zhong JIN Ya-fang LIU Guang-yun WANG Yan WANG 《中国药理学与毒理学杂志》 CAS CSCD 北大核心 2015年第S1期49-49,共1页
OBJECTIVE To evaluate the effects of Tong-Qiao-Huo-Xue decoction(TQHXD)on the bloodbrain barrier(BBB)permeability and the expressions of related proteins on the rats;and to analyse the constituents in the cerebrospina... OBJECTIVE To evaluate the effects of Tong-Qiao-Huo-Xue decoction(TQHXD)on the bloodbrain barrier(BBB)permeability and the expressions of related proteins on the rats;and to analyse the constituents in the cerebrospinal fluid on the rats with cerebral ischemic injury.METHODS Cerebral ischemia rats were induced by middle cerebral artery occlusion(MCAO).Adult male sprague-dawley(SD)rats were randomly divided into seven groups:sham-group;model group;nimodipine(NMP)-treated group and nao mai tai(NMT)-treated group were set as positive drug control groups;TQHXD-treated group(3,6 and 12g·kg-1body weight);The neurological function of rats was estimated by neurological defect scoring after the 1,7and 15 dafter administration.Histological structure of the brain in rats were observed by hematoxylin and eosin(H&E)staining.Ultramicrostructural features of hippocampus neurons and the opening of tight junction(TJ)of BBB in rats were observed by transmission electron microscope(TEM).Western blotting was performed to detect the expression of ZO-1,occludin,claudin-5,AQP-4 and MMP-9 in BBB after cerebral ischemia injury.Component analysis experiments:adult male SD rats were randomly divided into four groups:Distilled water was administered intragastrically sham-operated rats;Distilled water was administered intragastrically model rats by MCAO;TQHXD was administered intragatrically to rats in sham-operated group;TQHXD was administered intragestrically to rats in model group by MCAO.GC and HPLC was used to detect three compounds,namely,muscone,ligustilide and hydroxysafflor yellow A,in rats cerebrospinal fluid(CSF)after oral administration of TQHXD.Finally,samples of cerebrospinal fluid of rats in each group were compared with single medicine so as to explicit the three compounds come from which herb.RESULTS TQHXD significantly reduced the neurological defect scores.Histological examination indicated that dense neuropil and largely surviving neurons had been seen in TQHXD-treated rats.TEM observation revealed that TQHXD could signif 展开更多
关键词 tong-qiao-huo-xue-decoction blood-brain barrier ti
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