【摘要】：目的探討疏血通對糖尿病并發(fā)腦梗死的治療效果及血液流變學的影響。方法選取我院2011-05—2015-03收治的98例糖尿病并發(fā)腦梗死患者為研究對象。按照入院順序隨機均分為實驗組和對照組,對照組采取鹽酸丁咯地爾、胞二磷膽堿、尼膜同治療,控制血糖。實驗組在對照組的基礎上采取疏血通注射液治療。觀察療效、中醫(yī)證候積分、NIHSS評分、ADL評分、血液流變學變化情況。結果實驗組總有效率93.88%,高于對照組的77.55%(P0.05);實驗組治療后中醫(yī)證候積分、NIHSS評分、全血黏度(低切)、全血黏度(高切)、血漿黏度低于治療前和對照組(P0.05);對照組治療后中醫(yī)證候積分、NIHSS評分、全血黏度(低切)、全血黏度(高切)、血漿黏度低于治療前(P0.05)。實驗組治療后ADL評分高于治療前和對照組(P0.05);對照組治療后ADL評分高于治療前(P0.05)。結論疏血通對糖尿病并發(fā)腦梗死的治療效果較好,能夠有效改善患者血液流變學,臨床應用價值較高。
[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.
【作者單位】： 鄭州大學第五附屬醫(yī)院康復醫(yī)學科;
【分類號】：R743.33;R587.1
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本文編號：2329676