柴胡加龙骨牡蛎汤联合循经刮痧对急性缺血性脑卒中病人神经功能、血流变及血清UCH-L1水平的影响

    Impacts of Chaihu Jia Longgu Muli Decoction combined with scraping along meridians on nerve function, hemorheology and serum UCH-L1 level in patients with acute ischemic stroke

    • 摘要:
      目的: 探讨柴胡加龙骨牡蛎汤联合循经刮痧对急性缺血性脑卒中病人神经功能、血流变及血清泛素羧基末端水解酶-1(UCH-L1)水平的影响。
      方法: 选取120例急性缺血性脑卒中病人为研究对象,随机分成2组。对照组采用常规治疗,观察组在常规治疗基础上,给予柴胡加龙骨牡蛎汤联合循经刮痧疗法治疗,2组病人均治疗2周。观察2组病人治疗前后神经功能、血流变及血清UCH-L1水平变化情况,并评估临床治疗效果。
      结果: 治疗1周后、治疗2周后,2组中医证候积分、NIHSS评分、全血高切黏度、全血低切黏度、血浆黏度、血清UCH-L1、GFAP水平均低于治疗前,且观察组均低于对照组(P < 0.05 ~ P < 0.01)。观察组治疗总有效率%较对照组高(P < 0.05);2组不良事件差异无统计学意义(P > 0.05)
      结论: 柴胡加龙骨牡蛎汤联合循经刮痧能够显著改善急性缺血性脑卒中病人神经功能,提升治疗疗效,改善血流变学,降低血清UCH-L1水平,安全性高。

       

      Abstract:
      Objective To investigate the effect of Chaihu plus Longgu Muli decoction combined with scraping along the meridian on neurological function, hemorheology and serum ubiquitin carboxy terminal hydrolase-1 (UCH-L1) level in patients with acute ischemic stroke.
      Methods A total of 120 patients with acute ischemic stroke were randomly divided into two groups. The control group was treated with conventional treatment, and the observation group was treated with Chaihu plus Longgu Muli decoction combined with scrapping along the meridian on the basis of conventional treatment. Both groups were treated for 2 weeks. The changes of neurological function, blood rheology and serum UCH-L1 level before and after treatment were observed in the two groups, and the clinical treatment effect was evaluated.
      Results After 1 week and 2 weeks of treatment, the TCM syndrome score, NIHSS score, whole blood high shear viscosity, whole blood low shear viscosity, plasma viscosity, serum UCH-L1 and GFAP levels of the two groups were lower than those before treatment, and the observation group was lower than that of the control group (P < 0.05 ~ P < 0.01). The total effective rate of the observation group was higher than that of the control group (P < 0.05); There was no significant difference in adverse events between the two groups (P > 0.05).
      Conclusions Chaihu plus Longgu Muli decoction combined with scraping along the meridian can significantly improve the neurological function of patients with acute ischemic stroke, improve the therapeutic effect, improve hemorheology, and reduce the serum UCH-L1 level, with high safety.

       

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