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1、維普資訊http://www.cqvip.com·94·中國(guó)中西醫(yī)結(jié)合雜志2003年23卷第2期cJITWM,F(xiàn)ebruary2003,Vol23,No.2通心絡(luò)膠囊配合治療急性腦梗死的臨床研究杜金行史載祥吳以嶺任在方張久亮黃力摘要目的:觀察通心絡(luò)膠囊對(duì)急性腦梗死的治療效果以及對(duì)患者凝血一纖溶指標(biāo)的影響,以綜合分析其作用機(jī)理。方法:將64例急性腦梗死患者隨機(jī)分為兩組,通心絡(luò)膠囊加常規(guī)藥物治療組(治療組)33例,對(duì)照組31例。觀察兩組患者治療后有效率,治療前后神經(jīng)功能缺損評(píng)分、組織型纖溶酶原激活劑(tPA)、纖溶酶原激活物抑制劑(PAI)、抗凝血
2、酶.Ⅲ(AT.Ⅲ)、血栓素B2(TXB2)~6一酮一前列腺素F1(6.keto-PGF1)的變化。結(jié)果:治療組總有效率為84.8%、平均減少積分為(9.33±4.47)分,明顯優(yōu)于對(duì)照組的71.0%、(8.50±4.6o)分(P<0.05);在升高血漿AT.Ⅲ含量、降低TXBz、升高TXBz/6.keto-PGF】。比值方面與對(duì)照組比較,差異有顯著性(P<0.05)。結(jié)論:通心絡(luò)膠囊作為急性腦梗死聯(lián)合用藥,可明顯提高臨床療效;其作用機(jī)制可能與其抗凝及抑制血小板活化有關(guān)。關(guān)鍵詞通心絡(luò)膠囊急性腦梗死組織型纖溶酶原激活劑纖溶酶原激活物抑制劑抗凝血酶.
3、Ⅲ血栓素B26一酮一前列腺素F】。ClinicalStudyonTreatmentofAcuteCerebralInfarctionbyCombinedApplicationofTongxinluoCapsuleDUJin-hang,SHIZai—xiang,WUYi-ling,etalDepartmentofHeartandKidney,ChinadapanFriendshipHos—pital,Beijing(100029)Objective:ToexploretheactingmechanismofTongxinluoCapsule(TX
4、LC)byobservingitstherapeuticeffectintreatingacutecerebralinfarctionandtheeffectonparametersofbloodfibrinolysis.Methods:Sixty-fourpatientswithacutecerebralinfarctionwererandomlydividedintotheTXLCgroup(n:33)andthecontrolgroup(n=31).Thetherapeuticeffectandchangesofneurofunction
5、deficitscore,tissuetypeplasminogenacti-vator(tPA),plasminogenactivatorinhibitor(PAI),antithrombin-m(AT.Ⅲ),thromboxaneB2(T)【l),6-keto-PGF1beforeandaftertreatmentinthetwogroupswereobserved.Results:Theeffectiverate(84.8%)andtheaveragedecreasedscore(9.33±4.47)intheTXLCgroupwereo
6、bviouslybetterthanthoseinthecon-trolgroup.SignificantdifferencewasalsofoundbetweenthetwogroupsinincreaseofAT-llIplasmacontent,decreaseofTXBzlevelandincreaseofTX~/6-keto-PGFhratio(P<0.05).Conclusion:Asancombinedtreat-mentofacutecerebralinfarction.TXLCcouldmarkedlyimprovetheth
7、erapeuticeffectofconventionaltreat.ment,themechanismcouldberelatedmainlytoitseffectsofanti.coagulationandanti.plateletactivation.KeywordsTongxinluoCapsule,acutecerebralinfarction,tisuetypeplasminogenactivator,plasminogenactivatorinhibitor,antithrombin.Ⅲ,thromboxaneB2,6.keto-
8、PGFh通心絡(luò)膠囊具有益氣活血、通絡(luò)止痛功效,對(duì)腦梗友好醫(yī)院心腎科2000年9月一2001年3月間住院患死恢復(fù)期患者有改善半身不遂等癥狀的作用n。本研