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固本通络胶囊联合硫酸氢氯吡格雷片加家庭康复指导对脑梗死恢复期患者的疗效。

Efficacy of Getong Tongluo Capsule plus Clopidogrel hydrogen sulfate tablets Therapy Assisted by Home Rehabilitation Guidance in Convalescents from Cerebral Infarction.

出版信息

Altern Ther Health Med. 2024 Jun;30(6):259-263.

Abstract

BACKGROUND

Cerebral infarction (CI) is one of the leading causes of death in middle-aged and elderly people, and there is a need to focus on overall rehabilitation during the recovery period of CI in the clinic, to provide a more reliable guarantee for the health of patients.

OBJECTIVE

To observe the therapeutic efficacy of Getong Tongluo Capsule (GTC) plus Clopidogrel hydrogen sulfate tablets (CHST) therapy assisted by home rehabilitation guidance in convalescents from CI, to provide clinical reference and evidence for future CI management.

METHODS

CI convalescents who visited the Fourth People's Hospital of Haikou City between 2016 and 2021 were selected as the research participants. Based on the assistance of home rehabilitation guidance, 44 patients receiving CHST treatment and 56 patients receiving GTC + CHST treatment were assigned to a control group (CG) and research group (RG), respectively. The blood viscosity of the two groups was compared before and after treatment. In addition, patients were assessed by the National Institutes of Health Stroke Scale (NIHSS), Mini-Mental State Examination (MMSE), Fugl-Meyer Assessment (FMA), Modified Barthel index (MBI), and Self-rating Anxiety/Depression Scale (SAS/SDS) scores. Finally, the adverse reaction rate was counted.

RESULTS

The post-treatment blood viscosity decreased in both cohorts and was lower in RG compared with CG (P < .001). Regarding various scale scores, NIHSS, SAS, and SDS were lower in RG than CG, while MMSE, FMA, and MBI were higher (P < .001). The adverse reaction rate was not significantly different between groups (P = .587).

CONCLUSION

GTC + CHST therapy assisted by home rehabilitation guidance is effective in the treatment of CI patients in the convalescent stage and is worth recommending.

摘要

背景

脑梗死(CI)是中老年人死亡的主要原因之一,临床上需要重视 CI 恢复期的整体康复,为患者健康提供更可靠的保障。

目的

观察通络胶囊(GTC)联合硫酸氢氯吡格雷片(CHST)治疗加家庭康复指导对 CI 恢复期患者的疗效,为今后 CI 管理提供临床参考和依据。

方法

选取 2016 年至 2021 年期间在海口市第四人民医院就诊的 CI 恢复期患者作为研究对象。在家庭康复指导的辅助下,将接受 CHST 治疗的 44 例患者和接受 GTC+CHST 治疗的 56 例患者分别分配到对照组(CG)和研究组(RG)。比较两组治疗前后的血液黏度。此外,采用美国国立卫生研究院卒中量表(NIHSS)、简易精神状态检查量表(MMSE)、Fugl-Meyer 评估量表(FMA)、改良巴氏指数(MBI)和焦虑/抑郁自评量表(SAS/SDS)评分对患者进行评估。最后,计算不良反应发生率。

结果

两组治疗后血液黏度均降低,且 RG 低于 CG(P<0.001)。在各种量表评分方面,RG 的 NIHSS、SAS 和 SDS 评分均低于 CG,而 MMSE、FMA 和 MBI 评分均高于 CG(P<0.001)。两组不良反应发生率无显著差异(P=0.587)。

结论

家庭康复指导辅助下的 GTC+CHST 疗法对 CI 恢复期患者的治疗有效,值得推荐。

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