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逐瘀通腑系列方剂联合针刺及推拿治疗高血压性脑出血的临床研究

[Clinical study on Zhuyu Tongfu serial recipe combined with acupuncture and massotherapy in treating hypertensive cerebral hemorrhage].

作者信息

Liu Hua, Zhang Guo-ping, Song Shui-jiang, Ding Mei-ping, Zhou Jun-fu, Bie Xiao-dong, Liu Jian-ren, Zhang Yun, Li Zhuo-hua, Gao Hai-feng, Liu Guang-guo, Fei Lai-ting

机构信息

The Second Hospital Affiliated to Medical College, Zhejiang University, Hangzhou 310009, China.

出版信息

Chin J Integr Med. 2005 Sep;11(3):167-72. doi: 10.1007/BF02836498.

Abstract

OBJECTIVE

To observe the clinical efficacy and mechanism of Zhuyu Tongfu (ZYTF) Serial Recipe combined with acupuncture and massotherapy in treating hypertensive cerebral hemorrhage (HCH).

METHODS

One hundred and eighteen patients with hypertensive cerebral hemorrhage, on the basis of conventional Western medicine treatment, were randomly divided into ZYTF combined with acupuncture and massotherapy group (treated group) and simple Western medicine group (control group); the clinical efficacy, neurofunction deficit scoring (NDS) alterations and hematoma absorption rate of both groups were observed, and also the plasma superoxide dismutase (SOD) activity, plasma lipid peroxidase (LPO) content, erythrocyte glutathion peroxidase (GSH-Px) activity, hematocrit (Ht) and the whole blood viscosity (Va) change were also observed.

RESULTS

In the treated group, the clinical efficacy, NDS improvement and hematoma absorption rate were superior to that of the control group; comparison between the two groups after treatment showed that plasma SOD activity and GSH-Px activity got more elevated and plasma LPO content, Ht and Va more lowered in the the treated group than those in the control group.

CONCLUSION

ZYTF combined with acupuncture and massotherapy has better effect, its therapeutic mechanism was possibly correlated to the elevation of plasma SOD activity, GSH-Px activity and lowering of plasma LPO content, Ht and Va.

摘要

目的

观察逐瘀通腑(ZYTF)系列方联合针刺及推拿治疗高血压性脑出血(HCH)的临床疗效及作用机制。

方法

将118例高血压性脑出血患者在西医常规治疗基础上,随机分为ZYTF联合针刺及推拿组(治疗组)和单纯西医组(对照组);观察两组的临床疗效、神经功能缺损评分(NDS)变化及血肿吸收情况,同时观察血浆超氧化物歧化酶(SOD)活性、血浆脂质过氧化物(LPO)含量、红细胞谷胱甘肽过氧化物酶(GSH-Px)活性、血细胞比容(Ht)及全血黏度(Va)的变化。

结果

治疗组临床疗效、NDS改善情况及血肿吸收优于对照组;两组治疗后比较,治疗组血浆SOD活性及GSH-Px活性升高,血浆LPO含量、Ht及Va降低。

结论

ZYTF联合针刺及推拿疗效较好,其治疗机制可能与提高血浆SOD活性、GSH-Px活性及降低血浆LPO含量、Ht及Va有关。

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