化瘀通脉方治疗慢性脑供血不足痰瘀互阻证的临床研究

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1、提要目的：观察化瘀通脉方治疗慢性脑供血不足痰瘀互阻证的临床疗效,并探求其可能的作用机理。方法：临床研究选择符合临床纳入标准的病例60例，采用随机方法分为化瘀通脉组30例，脑心通组30例，4周为一个疗程，共两个疗程。观察两组治疗方法对慢性脑供血不足患者痰瘀互阻证证候积分的影响，并进行脂蛋白a、超敏C反应蛋白、血尿酸含量的检测。结果：临床研究表明，化瘀通脉方能明显改善慢性脑供血不足痰瘀互阻证患者的临床症状，并能有效降低其脂蛋白a、超敏C反应蛋白及血尿酸水平。两组在治疗剂量下均未出现严重不良反应。结论：1.化瘀通脉方对慢性脑供血不足痰瘀互阻证具有较好的治疗效果

2、。2.化瘀通脉方治疗慢性脑供血不足的作用机理可能与其能够有效调节脂质代谢、减轻炎性反应、降低尿酸水平等有关。关键词化瘀通脉方；慢性脑供血不足；临床研究ClinicalstudyofHuayutongmaiDecoctionintreatingphlegmandbloodstasissyndromeofCCCISpeciality:InternalMedicineDepartmentofTraditionalChineseMedicineAuthor:ZhangHonglingTutor:Prof.LiChangshengAbstractObjective

3、:TostudytheclinicaleffectandthepossibleactionmechanismofHuayutongmaidecoctionintreatingCCCI.Methods：60caseswithCCCIwereselectedandrandomlydividedinto2groups,30casesofHuayutongmaidecoctiontreatinggroupand30casesofNaoxintongcapsulecontrolgroup.Theresultswereassessedmainlybyseverali

4、ndexesincludingthechangeofLp(a)level,Hs-CRPlevel,BUAlevelandthesyndromeintegralchangesofpatientswithphlegmandbloodstasissyndromeofCCCI.Results:ClinicalstudiesshowedthatHuayutongmaidecoctioncanobviouslyimprovesymptomsinpatientswithCCCI,anddegradethelevelofLp(a),Hs-CRPandBUAeffectu

5、ally.Conclusion：1.HuayutongmaidecoctionisobviouslyeffectiveontreatmentofCCCI;2.ThepossibleactionmechanismofHuayutongmaidecoctionintreatingCCCImayberelatedtothemechanismthatitcanbeeffectiveinregulatinglipidmetabolism,reducinginflammatoryreactionandreducingthelevelofBUA.KeywordsHua

6、yutongmaidecoction;CCCI;clinicalstudy目录引言...............................................................................................................................1临床研究...........................................................................................................

7、....................2一、病例选择.......................................................................................................................2（一）西医诊断标准...........................................................................................................2（二）中医诊断标准.......

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