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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

发布时间:2018-11-13 16:23
【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%(P0.05);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(P0.05);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(P0.05)。实验组治疗后ADL评分高于治疗前和对照组(P0.05);对照组治疗后ADL评分高于治疗前(P0.05)。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。
[Abstract]:Objective to investigate the therapeutic effect of Shuxuetong on diabetes mellitus complicated with cerebral infarction and the effect of hemorheology. Methods 98 patients with diabetes mellitus complicated with cerebral infarction were selected. The control group was treated with buflomedil hydrochloride, cytidine diphosphate choline and nitrilm to control blood glucose. The experimental group was treated with Shuxuetong injection on the basis of the control group. Observe the curative effect, TCM syndrome score, NIHSS score, ADL score and hemorheology changes. Results the total effective rate of the experimental group was 93.888.It was higher than that of the control group (77.55%, P0.05). After treatment, TCM syndrome score, NIHSS score, whole blood viscosity (low shear), whole blood viscosity (high shear), plasma viscosity were lower than those before treatment and control group (P0.05). In the control group, TCM syndrome score, NIHSS score, whole blood viscosity (low shear), whole blood viscosity (high shear) and plasma viscosity were lower than those before treatment (P0.05). The ADL score after treatment in the experimental group was higher than that before treatment and control group (P0.05), and the ADL score in the control group was higher than that before treatment (P0.05). Conclusion Shuxuetong is effective in treating diabetes mellitus complicated with cerebral infarction and can effectively improve the hemorheology of patients.
【作者单位】: 郑州大学第五附属医院康复医学科;
【分类号】:R743.33;R587.1


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