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脑血疏口服液改善混合性脑卒中后失语症。

Nao-Xue-Shu Oral Liquid Improves Aphasia of Mixed Stroke.

机构信息

Shanghai Business School, Room 612, Administrative Building, No. 123, Fengpu Avenue, Fengxian District, Shanghai 201400, China.

Department of Neurology, Shuguang Hospital Affiliated to Shanghai University of TCM, No. 528, Zhang-Heng Road, Pu-Dong New Area, Shanghai 201203, China.

出版信息

Evid Based Complement Alternat Med. 2015;2015:709568. doi: 10.1155/2015/709568. Epub 2015 Oct 19.

Abstract

Objective. The objective is to observe whether the traditional Chinese medicine (TCM) Nao-Xue-Shu oral liquid improves aphasia of mixed stroke. Methods. A total of 102 patients with aphasia of mixed stroke were divided into two groups by a single blind random method. The patients treated by standard Western medicine plus Nao-Xue-Shu oral liquid (n = 58) were assigned to the treatment group while the remaining patients treated only by standard Western medicine (n = 58) constituted the control group. Changes in the Western Aphasia Battery (WAB), Modified Rankin Scale (mRS), National Institutes of Health Stroke Scale (NIHSS), and hemorheology parameters were assessed to evaluate the effects of the treatments. Results. Excluding the patients who dropped out, 54 patients in the treatment group and 51 patients in the control group were used to evaluate the effects. Significant and persistent improvements in the WAB score, specifically comprehension, repetition, naming, and calculating, were found in the treatment group when the effects were evaluated at the end of week 2 and week 4, respectively, compared with baseline. The naming and writing scores were also improved at the end of week 4 in this group. The comprehension and reading scores were improved at the end of week 4 in the control group compared with the baseline, but the improvements were smaller than those in the treatment group. The percentages of patients at the 0-1 range of mRS were increased at the end of week 2 and week 4 in both groups, but the improvements in the treatment group were much larger than those in the control group. Greater improvements in the NIHSS scores and the hemorheology parameters in the treatment group were also observed compared with the control group at the end of week 2 and week 4. Conclusion. Nao-Xue-Shu oral liquid formulation improved aphasia in mixed stroke patients and thus might be a potentially effective drug for treating stroke aphasia.

摘要

目的

观察中药脑血疏口服液是否改善混合性脑卒中后的失语症。

方法

将 102 例混合性脑卒中后失语症患者采用单盲随机方法分为两组,西医标准治疗加脑血疏口服液(n = 58)为治疗组,单纯西医标准治疗(n = 58)为对照组。采用西方失语成套测验(WAB)、改良 Rankin 量表(mRS)、国立卫生研究院卒中量表(NIHSS)及血液流变学指标评估治疗效果。

结果

剔除脱落病例后,治疗组 54 例、对照组 51 例进入结果分析。治疗组在治疗第 2、4 周末 WAB 评分(包括理解、复述、命名、计算)均显著高于治疗前,且改善优于对照组。治疗组治疗第 4 周末命名、书写评分也高于治疗前,对照组仅在第 4 周末理解、阅读评分高于治疗前,但改善程度均小于治疗组。两组 mRS 评分 0-1 分例数在治疗第 2、4 周末均较治疗前增加,但治疗组增加例数明显多于对照组。治疗组 NIHSS 评分及血液流变学指标在治疗第 2、4 周末改善也明显优于对照组。

结论

脑血疏口服液改善混合性脑卒中后失语症患者的语言功能,可能是治疗脑卒中后失语症的有效药物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9411/4629027/4b5785ec0e5e/ECAM2015-709568.001.jpg

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