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红花黄色素注射液治疗急性脑梗死的价值:一项随机对照试验。

The Value of Safflower Yellow Injection for the Treatment of Acute Cerebral Infarction: A Randomized Controlled Trial.

作者信息

Li Le-Jun, Li Yu-Mei, Qiao Ben-Yu, Jiang Shan, Li Xin, Du Hong-Ming, Han Peng-Cheng, Shi Jiong

机构信息

Department of Neurology, Affiliated Lianyungang Hospital of Nanjing University of Chinese Medicine, No. 160 W. Chaoyang Road, Lianyungang 222000, China ; Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, AZ 85013, USA.

Department of Neurology, Affiliated Lianyungang Hospital of Nanjing University of Chinese Medicine, No. 160 W. Chaoyang Road, Lianyungang 222000, China.

出版信息

Evid Based Complement Alternat Med. 2015;2015:478793. doi: 10.1155/2015/478793. Epub 2015 May 17.

Abstract

Background. Safflower Yellow Injection has been reported as a treatment for acute cerebral infarction in recent studies in China. However, there is a lack of availability of the evidence for the efficacy and safety of Safflower Yellow Injection for the treatment of acute ischemic stroke. So we investigated the effects of Safflower Yellow Injection for the treatment of acute cerebral infarction. Method. All subjects were randomly divided into Safflower Yellow Injection group given Safflower Yellow Injection (80 mg) and control group given placebo (0 mg) injection by intravenous drop once daily for 14 days. National Institute of Health Stroke Scale (NIHSS); hemorheological detection; coagulation function; and serum inflammatory markers, tumor necrosis factor-alpha (TNF-α), interleukin-1β (IL-1β), and interleukin-6 (IL-6), were used to investigate the effects before and 14 days after the treatment. Results. The scores of NIHSS were decreased on day 7 and day 14 after treatment. The hemorheological index of RBC deformation and RBC aggregation were significantly improved, prothrombin time (PT) increased, and fibrinogen (FIB) and TNF-α, IL-1β, and IL-6 were decreased in patients treated with Safflower Yellow injection on day 14 after treatment (P < 0.05). Conclusion. Data suggests that Safflower Yellow Injection therapy may be beneficial for acute cerebral infarction.

摘要

背景。在中国最近的研究中,红花黄色素注射液已被报道可用于治疗急性脑梗死。然而,缺乏关于红花黄色素注射液治疗急性缺血性卒中有效性和安全性的证据。因此,我们研究了红花黄色素注射液治疗急性脑梗死的效果。方法。所有受试者被随机分为红花黄色素注射液组,给予红花黄色素注射液(80毫克),对照组给予安慰剂(0毫克)注射液,静脉滴注,每日一次,共14天。使用美国国立卫生研究院卒中量表(NIHSS);血液流变学检测;凝血功能;以及血清炎症标志物,肿瘤坏死因子-α(TNF-α)、白细胞介素-1β(IL-1β)和白细胞介素-6(IL-6),来研究治疗前和治疗14天后的效果。结果。治疗后第7天和第14天,NIHSS评分降低。治疗14天后,接受红花黄色素注射液治疗的患者红细胞变形和红细胞聚集的血液流变学指标显著改善,凝血酶原时间(PT)增加,纤维蛋白原(FIB)以及TNF-α、IL-1β和IL-6降低(P<0.05)。结论。数据表明,红花黄色素注射液治疗可能对急性脑梗死有益。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb93/4449919/17839512ee71/ECAM2015-478793.001.jpg

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