葛酮通络胶囊联合针刺治疗急性缺血性脑卒中临床研究
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R743.3

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广东省中医药局中医药科研项目(粤中医函〔2020〕366号)


Clinical Study on Getong Tongluo Capsules Combined with Acupuncture for Acute Ischemic Stroke
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    摘要:

    目的:观察葛酮通络胶囊联合针刺治疗对急性缺血性脑卒中(AIS) 患者神经功能及氧化应激水平 的影响。方法:将100 例AIS 患者按随机数字表法分为对照组、葛酮组、针刺组、联合组,每组25 例。对照 组给予一般治疗和专科治疗,葛酮组在对照组基础上给予葛酮通络胶囊治疗,针刺组在对照组基础上给予针刺 治疗,联合组在对照组基础上给予葛酮通络胶囊联合针刺治疗,4 组均连续治疗14 d。比较4 组治疗前后美国 国立卫生研究院卒中量表(NIHSS) 评分、神经功能缺损指标[S-100B 蛋白、神经元特异性烯醇化酶(NSE)、 神经胶质纤维酸性蛋白(GFAP) ]及氧化应激指标[谷胱甘肽过氧化物酶(GSH-Px)、超氧化物歧化 酶(SOD)、8-羟基脱氧鸟苷(8-OHDG)、丙二醛(MDA)]水平。结果:治疗后,4 组NIHSS 评分均较治疗 前降低(P<0.05),葛酮组、针刺组及联合组NIHSS 评分均低于对照组(P<0.05),联合组NIHSS 评分均低 于葛酮组及针刺组(P<0.05)。治疗后,4 组血清S-100B 蛋白、NSE、GFAP 水平均较治疗前降低(P< 0.05),葛酮组、针刺组及联合组血清S-100B 蛋白、NSE、GFAP 水平均低于对照组(P<0.05),联合组血清 S-100B 蛋白、NSE、GFAP 水平均低于葛酮组及针刺组(P<0.05)。治疗后,4 组血清SOD、GSH-Px 水平均 较治疗前升高(P<0.05),血清MDA、8-OHDG 水平均较治疗前降低(P<0.05);葛酮组、针刺组及联合组 血清SOD、GSH-Px 水平均高于对照组(P<0.05),血清MDA、8-OHDG 水平均低于对照组(P<0.05);联合 组血清SOD、GSH-Px 水平均高于葛酮组及针刺组(P<0.05),血清MDA、8-OHDG 水平均低于葛酮组及针刺 组(P<0.05)。结论:葛酮通络胶囊联合针刺治疗可有效改善AIS 患者的神经功能缺损程度及氧化应激指标。

    Abstract:

    Abstract:Objective:To observe the effect of Getong Tongluo Capsules combined with acupuncture on levels of neurological function and oxidative stress in patients with acute ischemic stroke (AIS). Methods:A total of 100 cases of AIS patients were divided into the control group,the Getong group,the acupuncture group , and the combination group according to the random number table method , with 25 cases in each group. The control group was given general treatment and specialized treatment; the Getong group was additionally given Getong Tongluo Capsules based on the treatment of the control group; the acupuncture group was additionally treated with acupuncture based on the treatment of the control group; the combination group was additionally treated with Getong Tongluo Capsules combined with acupuncture based on the treatment of the control group. All the 4 groups were treated for 14 days continuously. National Institutes of Health Stroke Scale (NIHSS) scores,levels of neurological impairment indexes [S-100B protein,neuron-specific enolase (NSE),and glial fibrillary acidic protein (GFAP)],and oxidative stress indexes [glutathione peroxidase (GSH-Px),superoxide dismutase (SOD),8-hydroxydeoxyguanosine (8-OHDG),and malondialdehyde (MDA)] in the 4 groups were compared before and after treatment. Results: After treatment, NIHSS scores in the 4 groups were decreased when compared with those before treatment (P<0.05); NIHSS scores in the Getong group, the acupuncture group, and the combination group were lower than that in the control group (P<0.05),and NIHSS score in the combination group were lower than those in the Getong group and the acupuncture group (P<0.05). After treatment,the levels of S- 100B protein,NSE,and GFAP in serum in the 4 groups were decreased when compared with those before treatment (P<0.05);the levels of S-100B protein,NSE,and GFAP in serum in the Getong group, the acupuncture group,and the combination group were lower than those in the control group (P<0.05), and the levels of S- 100B protein, NSE, and GFAP in serum in the combination group were lower than those in the Getong group and the acupuncture group (P<0.05). After treatment, the levels of SOD and GSH-Px in serum in the 4 groups were increased when compared with those before treatment (P<0.05), and the levels of MDA and 8- OHDG in serum were decreased when compared with those before treatment (P<0.05); the levels of SOD and GSH- Px in serum in the Getong group, the acupuncture group,and the combination group were higher than those in the control group (P<0.05),and the levels of MDA and 8-OHDG in serum were lower than those in the control group (P<0.05);the levels of SOD and GSH-Px in serum in the combination group were higher than those in the Getong group and the acupuncture group (P<0.05);the levels of MDA and 8-OHDG in serum in the combination group were lower than those in the Getong group and the acupuncture group (P<0.05). Conclusion:Getong Tongluo Capsules combined with acupuncture for AIS patients can effectively improve the degree of neurological deficit and oxidative stress indexes.

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罗列波,陈随青,罗宇轩,李武丰,吴新加,苏淡冬,陈昭萌.葛酮通络胶囊联合针刺治疗急性缺血性脑卒中临床研究[J].新中医,2023,55(12):35-40

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  • 在线发布日期: 2023-06-27
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