银杏叶提取物注射液联合针灸对缺血性脑卒中患者脑血流和血脂的影响
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Effect of Folium Ginkgo Extract Injection Combined with Acupuncture and Moxibus⁃ tion on Cerebral Blood Flow and Blood Lipid in Patients with Ischemic Stroke
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    摘要:

    目的:观察银杏叶提取物注射液联合针灸对缺血性脑卒中(IS) 患者脑血流和血脂的影响。方法:将84 例IS 患者随机分为观察组和对照组各42 例。对照组应用阿司匹林和奥拉西坦治疗,观察组在对照组基础上加用银杏叶提取物注射液联合针灸治疗。比较2 组治疗总有效率,比较2 组治疗前后神经功能、生活能力、脑血流及血脂水平。结果:观察组总有效率90.48%,高于对照组73.81%(P<0.05)。与同组治疗前比较,治疗后2 组神经功能缺损评分(NIHSS) 及低密度脂蛋白胆固醇(LDL-C)、总胆固醇(TC)、甘油三酯(TG) 水平均降低(P<0.05),格拉斯哥昏迷评分(GCS) 及大脑前动脉(ACA)、大脑后动脉(PCA)、大脑中动脉(MCA) 平均血流速度均增大(P<0.05);与对照组治疗后比较,观察组治疗后NIHSS 评分及LCL-C、TC、TG 水平均较低(P<0.05),ADL、GCS 评分及ACA、PCA、MCA 平均血流速度均较大(P<0.05)。结论:阿司匹林、奥拉西坦、银杏叶提取物注射液联合针灸对IS 患者的治疗效果更好,可改善神经功能,提高脑血流速度,降低血脂水平。

    Abstract:

    Abstract: Objective: To observe the effect of folium ginkgo extract injection combined with acupuncture and moxibustion on cerebral blood flow and blood lipid in patients with ischemic stroke(IS). Methods: A total of 84 cases of IS patients were randomly divided into the observation group and the control group, with 42 cases in each group. The control group was treated with aspirin and oxiracetam, and the observation group was additionally treated with folium ginkgo extract injection combined with acupuncture and moxibustion based on the treatment of the control group. The neurological function and the levels of living ability, cerebral blood flow and blood lipid before and after treatment as well as the total effective rates in the two groups were compared. Results: The total effective rate was 90.48% in the observation group,higher than that of 73.81% in the control group(P<0.05). After treatment,the scores of National Institutes of Health Stroke Scale(NIHSS) and the levels of low- density lipoprotein cholesterol (LDL-C),total cholesterol(TC) and triglyceride(TG) in the two groups were decreased when compared with those before treatment(P<0.05),and the scores of Glasgow Coma Scale(GCS) and the mean blood velocity of anterior cerebral artery(ACA), posterior cerebral artery(PCA) and middle cerebral artery(MCA) were increased(P<0.05);the NIHSS score and the levels of LCL-C,TC and TG in the observation group were lower than those in the control group(P<0.05),and the scores of ADL and GCS as well as the mean blood velocity of ACA,PCA and MCA were higher(P<0.05). Conclusion:The therapy of aspirin,oxiracetam and folium ginkgo extract injection combined with acupuncture and moxibustion for IS patients has a better curative effect, and can improve neurological function, increase cerebral blood flow velocity and reduce blood lipid levels.

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樊恺,程乾,鲁秀荣,池泳.银杏叶提取物注射液联合针灸对缺血性脑卒中患者脑血流和血脂的影响[J].新中医,2022,54(19):93-96

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  • 在线发布日期: 2022-10-08
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