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金三针联合通窍活血汤对脑卒中患者神经功能、凝血功能及血清水平的影响。

Effect of Jin three needles combined with Tong Qiao and blood activation Tang on neurological function, coagulation function and serum level in stroke patients.

机构信息

Department of Rehabilitation, Wuhan No.9 Hospital, Wuhan, Hubei, China.

Department of Traditional Chinese Medicine, Wuhan No.9 Hospital, Wuhan, Hubei, China.

出版信息

Medicine (Baltimore). 2023 Aug 11;102(32):e34459. doi: 10.1097/MD.0000000000034459.

Abstract

To investigate the efficacy and safety of Jin three needles combined with Tong Qiao Wu Blood-streaming Tang in patients with acute ischemic stroke (AIS), this retrospective study analyzed the data of patients with AIS between January 2017 and December 2022. The National Institutes of Health Stroke Scale (NIHSS) scores, blood neuron-specific enolase, S100β protein (S100β), fibrinogen (FIB), cerebral infarct volume, D-dimer (D-D), prothrombin time (PT), activated partial thromboplastin time, hypersensitive c-reactive protein (hs-CRP), serum tumor necrosis factor-α (TNF-α), and homocysteine (Hcy) were compared between the 2 groups. The treatment effect was significantly better in the observation group than in the comparison group (P < .05). The NIHSS score, neuron-specific enolase, S100β, and cerebral infarct volume were significantly lower in both groups after treatment than before treatment (P < .05). FIB and D-D levels were significantly lower and APTT and PT levels were significantly higher in both groups after treatment than before treatment (P < .05). TNF-α, hs-CRP, and Hcy were significantly lower in both groups after treatment than before treatment, and TNF-α, hs-CRP and Hcy were significantly lower in the observation group than in the comparison group (P < .05). No statistically significant difference in the incidence of adverse reactions occurred between the 2 groups (P > .05). Combining Jin three needles can improve the therapeutic effect in patients with AIS, promote the recovery of neurological function, improve coagulation function, and reduce the inflammatory response with good safety.

摘要

为了研究金三针联合通窍活血汤治疗急性缺血性脑卒中(AIS)的疗效和安全性,本回顾性研究分析了 2017 年 1 月至 2022 年 12 月期间 AIS 患者的数据。比较两组患者的美国国立卫生研究院卒中量表(NIHSS)评分、神经元特异性烯醇化酶、S100β 蛋白(S100β)、纤维蛋白原(FIB)、脑梗死体积、D-二聚体(D-D)、凝血酶原时间(PT)、活化部分凝血活酶时间、超敏 C 反应蛋白(hs-CRP)、血清肿瘤坏死因子-α(TNF-α)和同型半胱氨酸(Hcy)。观察组的治疗效果明显优于对照组(P<.05)。两组治疗后 NIHSS 评分、神经元特异性烯醇化酶、S100β 和脑梗死体积均低于治疗前(P<.05)。两组治疗后 FIB 和 D-D 水平低于治疗前,APTT 和 PT 水平高于治疗前(P<.05)。两组治疗后 TNF-α、hs-CRP 和 Hcy 均低于治疗前,观察组低于对照组(P<.05)。两组不良反应发生率无统计学差异(P>.05)。金三针联合应用可提高 AIS 患者的治疗效果,促进神经功能恢复,改善凝血功能,减轻炎症反应,安全性良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e7c/10419501/98b7767e56f0/medi-102-e34459-g001.jpg

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