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超微粉碎通心络胶囊治疗中风的临床研究

[Clinical study of super crush-run Tongxinluo capsule on treatment of stroke].

作者信息

Wu Yi-Ling, Li Tao, Li Yan, Li Jia-Kang, Hu Guo-Heng, Gu Chun-Hua, Gao Xue-Dong

机构信息

Medicinal Academy of Integrated Traditional and Western Medicine of Hebei province, Shijiazhuang 050035, China.

出版信息

Zhongguo Zhong Yao Za Zhi. 2007 Sep;32(18):1928-31.

PMID:18051910
Abstract

OBJECTIVE

To evaluate the clinical efficacy and security of super crush-run tong xinluo capsule (SCTXLC) for apoplexy due to energy-deficiency and blood-stasis.

METHOD

The randomised controlled double blind non-inferiority trial versus paroxetine, parallel contrast, different Kinds of Techniques and dosage, the clinical trial design was adopted, 144 patients with stroke of convalescent stage were selected by 2 group, which course of diseases was in 2 weekens to 3 months, neurological deficit scores was 8 to 30, grade of acaties of daily living scores was 2 to 5. the treatment group (n = 72) received SCTXLC 0.26 g (a capsule), 4 capsules at a time, three times a day, while that of the control group (n = 72) received common crush-run tong xinluo capsule (CCTXLC) 0.38 g (a capsule), 4 capsules at a time, three times a day, the therapeutic course for both groups was 28 d.

RESULT

The synthesis total effective rates of the stroke in treatment group and control group were 91.3% and 87.3% respectively, showing no significant difference. The Lower Bound Upper Bound of Asymptotic 95% Confidence Interval of the total effective rates difference is -4.57%, over the beforehand Lower Bound of 15%, non-inferiority trial versus paroxetine was eligible. The adverse reactions occurred was 1 patient in the treatment group and 2 patients in control group in clinical trial.

CONCLUSION

SCTXLC has definite effect for apoplexy due to energy-deficiency and blood-stasis, the efficacy in the treated group was equal to that in the control group, and favourable satety for usage.

摘要

目的

评价超微粉碎通心络胶囊(SCTXLC)治疗气虚血瘀型中风的临床疗效及安全性。

方法

采用随机对照双盲非劣效性试验,与帕罗西汀平行对照,采用不同工艺和剂量,采用临床试验设计,选取144例恢复期脑卒中患者,分为2组,病程2周~3个月,神经功能缺损评分8~30分,日常生活活动能力评分2~5级。治疗组(n = 72)给予SCTXLC 0.26 g(1粒胶囊),每次4粒,每日3次,对照组(n = 72)给予普通粉碎通心络胶囊(CCTXLC)0.38 g(1粒胶囊),每次4粒,每日3次,两组疗程均为28天。

结果

治疗组和对照组脑卒中综合总有效率分别为91.3%和87.3%,差异无统计学意义。总有效率差值的渐近95%置信区间下限上限为-4.57%,超过预先设定的下限15%,与帕罗西汀非劣效性试验合格。临床试验中治疗组有1例出现不良反应,对照组有2例出现不良反应。

结论

SCTXLC治疗气虚血瘀型中风疗效确切,治疗组疗效与对照组相当,且使用安全性良好。

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