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使用中药治疗脑梗死的几点考虑。

Several considerations in using traditional Chinese patent medicine for cerebral infarction.

机构信息

Tianjin University of Traditional Chinese Medicine, Tianjin 300193, China.

出版信息

Chin J Integr Med. 2012 Aug;18(8):571-4. doi: 10.1007/s11655-012-1186-8. Epub 2012 Aug 2.

DOI:10.1007/s11655-012-1186-8
PMID:22855032
Abstract

Nowadays, a great number of traditional Chinese patent medicine (TCPM) are used more and more widely to treat cerebral infarction in China. When great attention is paid to using TCPM in the real world, several problems can be identified: ignoring the Chinese medicine (CM) therapeutic principle based on syndrome differentiation, a lack of appropriate dosage and usage based on individual patient conditions, and a shortage of evidence from randomized, double-blind, placebo-controlled clinical trials. Furthermore, in terms of evaluation of the TCPM effectiveness, few comprehensive criteria and evaluation methods recognized by the international community exist. This article addresses some opinions regarding the above mentioned problems.

摘要

如今,大量的中药(TCM)在中国被越来越广泛地用于治疗脑梗死。当大家都非常关注在真实世界中使用 TCM 时,我们可以发现几个问题:忽视基于辨证论治的中医药治疗原则,缺乏根据个体患者情况制定的合适剂量和用法,以及缺乏随机、双盲、安慰剂对照临床试验的证据。此外,在评价 TCM 的有效性方面,目前还没有国际社会认可的全面标准和评价方法。本文针对上述问题提出了一些意见。

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本文引用的文献

1
[Post-marketing re-evaluation about usage and dosage of Chinese medicine based on human population pharmacokinetics].基于人群药代动力学的中药用法用量上市后再评价
Zhongguo Zhong Yao Za Zhi. 2011 Oct;36(20):2811-2.
2
[Evidence-based medicine and individualized health care].[循证医学与个性化医疗保健]
Zhong Xi Yi Jie He Xue Bao. 2009 Jun;7(6):505-8. doi: 10.3736/jcim20090602.
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Meta-analysis of traditional Chinese patent medicine for ischemic stroke.治疗缺血性中风的中成药荟萃分析。
Predictors for the use of traditional Chinese medicine among inpatients with first-time stroke: a population-based study.
首次中风住院患者使用中药的预测因素:一项基于人群的研究。
BMC Complement Med Ther. 2020 Aug 6;20(1):244. doi: 10.1186/s12906-020-03037-9.
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Meta-Analysis for Clinical Evaluation of Xingnaojing Injection for the Treatment of Cerebral Infarction.醒脑静注射液治疗脑梗死的临床疗效Meta分析
Front Pharmacol. 2017 Aug 29;8:485. doi: 10.3389/fphar.2017.00485. eCollection 2017.
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Cost-effectiveness analysis of combined Chinese medicine and Western medicine for ischemic stroke patients.中西医结合治疗缺血性脑卒中患者的成本效益分析
Chin J Integr Med. 2014 Aug;20(8):570-84. doi: 10.1007/s11655-014-1759-9. Epub 2014 Aug 5.
6
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Therapeutic effects of traditional herbal medicine on cerebral ischemia: a perspective of vascular protection.传统草药对脑缺血的治疗作用:血管保护的视角。
Chin J Integr Med. 2013 Nov;19(11):804-14. doi: 10.1007/s11655-013-1341-2. Epub 2013 Oct 30.
Stroke. 2007 Jun;38(6):1973-9. doi: 10.1161/STROKEAHA.106.473165. Epub 2007 Apr 26.
4
Herbal medicine in stroke: does it have a future?草药医学在中风治疗中的应用:它有前景吗?
Stroke. 2007 Jun;38(6):1734-6. doi: 10.1161/STROKEAHA.107.487132. Epub 2007 Apr 26.
5
Subarachnoid haemorrhage associated with Ginkgo biloba.与银杏相关的蛛网膜下腔出血。
Lancet. 1998 Jul 4;352(9121):36. doi: 10.1016/S0140-6736(05)79516-7.
6
Association of Ginkgo biloba with intracerebral hemorrhage.银杏与脑出血的关联。
Neurology. 1998 Jun;50(6):1933-4. doi: 10.1212/wnl.50.6.1933.
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Spontaneous bilateral subdural hematomas associated with chronic Ginkgo biloba ingestion.与长期服用银杏叶制剂相关的自发性双侧硬膜下血肿。
Neurology. 1996 Jun;46(6):1775-6. doi: 10.1212/wnl.46.6.1775.