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中国临床药理学与治疗学 ›› 2014, Vol. 19 ›› Issue (4): 442-445.

• 药物治疗学 • 上一篇    下一篇

灯盏生脉胶囊在动脉粥样硬化性脑梗死二级预防的作用

马领松, 储照虎, 赵守财   

  1. 皖南医学院弋矶山医院神经内科,芜湖 241001,安徽
  • 收稿日期:2013-08-07 修回日期:2014-04-22 出版日期:2014-04-26 发布日期:2020-07-24
  • 作者简介:马领松,男,硕士,副主任医师,研究方向:脑血管病。Tel:0553-5739542 E-mail:mals308@sohu.com

Effect of Dengzhan shengmai capsules on the secondary prevention of atherosclerotis cerebral infarction

MA Ling-song, CHU Zhao-hu, ZHAO Shou-cai   

  1. Department of Neurology, Yijishan Hospital, Wannan Medical College, Wuhu 241001, Anhui, China
  • Received:2013-08-07 Revised:2014-04-22 Online:2014-04-26 Published:2020-07-24

摘要: 目的: 探讨灯盏生脉胶囊对动脉粥样硬化性脑梗死二级预防的作用。方法: 选择本院2009年6月至2012年6月的脑梗死患者110例,随机分为观察组和对照组。对照组患者给予阿托伐他汀(10 mg, Qn)、阿司匹林肠溶片(100 mg,q.d.),行二级预防治疗措施。观察组给予阿托伐他汀片(10 mg,Qn)、阿司匹林肠溶片(100 mg,q.d.)、灯盏生脉胶囊(540 mg,Tid)。检测两组患者治疗前后脂蛋白a、C反应蛋白水平;采用美国国立卫生研究院卒中量表(NIHSS评分) 分别于治疗前后评定两组患者的神经功能缺损情况。同时观察两组患者6个月内卒中再发情况。结果: 两组患者治疗后脂蛋白a、C反应蛋白水平与治疗前比较,差异有统计学意义(P<0.01);NIHSS评分亦有统计学意义(P<0.05)。治疗前两组患者的脂蛋白a、C反应蛋白水平、NIHSS评分比较差异无统计学意义(P>0.05),治疗后观察组的脂蛋白a、C反应蛋白水平、NIHSS评分与对照组比较,差异有统计学意义(P<0.05)。结论: 灯盏生脉胶囊用于脑梗死二级预防,不但能够降低脂蛋白a水平、 C反应蛋白水平,还有助于改善脑梗死患者的神经功能,减少卒中患者再次发病,在脑梗死二级预防中发挥重要作用。

关键词: 灯盏生脉胶囊, 脑梗死, 脂蛋白a, C反应蛋白

Abstract: AIM: To investigate the effect of Dengzhan Shengmai capsules on the secondary prevention of atherosclerotic cerebral infarction. METHODS: 110 patients with cerebral infarction from June 2009 to June 2012 in the hospital were randomly divided into observation group and control group. Conducting the secondary prevention treatment measures, the control group was treated with atorvastatin (10 mg, Qn) and aspirin enteric-coated tablets(100 mg, q.d.). The observation group was given Dengzhan Shengmai(540 mg, Tid). Lipoprotein-a and C-reactive protein levels were detected respectively before and after treatment. Neurological deficit situation in patients of two groups were assessed respectively by the U.S.National Institutes of Health Stroke Scale(NIHSS score) before and after treatment,and stroke recurrence situation within 6 months of two groups were observed respectively. RESULTS: After treatment,the change of lipoprotein-a and C-reactive protein levels were different from that of before treatment, the differences were both statistically significant(P<0.01) and so did NIHSS score (P<0.05).Before treatment, lipoprotein-a and C-reactive protein levels and NIHSS score showed no-statistical significance(P>0.05);after treatment, lipoprotein-a and C-reactive protein levels and NIHSS score in observation group and control groups, the difference was significant (P<0.05). CONCLUSION: Dengzhan Shengmai capsules for secondary prevention of cerebral infarction, not only can reduce the levels of lipoprotein -a and C-reactive protein levels, but also help to improve neurological function in patients with cerebral infarction and reduce the recurrence of stroke and play an important role in secondary prevention of cerebral infarction.

Key words: Dengzhan Shengmai capsules, cerebral infarction, lipoprotein-a, C-reactive protein

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