中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2012年
11期
1620-1621
,共2页
高血压%脑血管循环%超声检查,多普勒,经颅%全天麻胶囊
高血壓%腦血管循環%超聲檢查,多普勒,經顱%全天痳膠囊
고혈압%뇌혈관순배%초성검사,다보륵,경로%전천마효낭
Hypertension%Cerebrovascular circulation%Uhrasonography,doppler,transcranial%Gastrodia elata capsule
目的 观察全天麻胶囊对高血压患者脑血流的影响.方法 将69例高血压患者随机分为治疗组36例和对照组33例,治疗组患者接受全天麻胶囊配合降压药治疗,对照组患者单用降压药治疗.两组患者治疗前及治疗后20d行经颅多普勒超声(TCD)检查,观察两组治疗前后颅内血管血流的变化.结果 治疗组治愈12例、显效15例、有效8例、无效1例、总有效率97.2％,对照组分别为7例、12例、6例、8例、75.8％,两组临床疗效差异有统计学意义(Z=2.240,P＜0.05).治疗20d后,对照组MCA、ACA、PCA、BA、VA平均流速与治疗前差异均无统计学意义(均P＞0.05)；治疗组MCA、ACA、PCA、BA、VA平均流速均低于对照组(t=-2.65、-2.44、-3.92、-3.31、-4.68.均P＜0.05).结论 全天麻胶囊配合降血压药较单用降压药治疗能显著改善高血压患者的疗效及脑血流状态.
目的 觀察全天痳膠囊對高血壓患者腦血流的影響.方法 將69例高血壓患者隨機分為治療組36例和對照組33例,治療組患者接受全天痳膠囊配閤降壓藥治療,對照組患者單用降壓藥治療.兩組患者治療前及治療後20d行經顱多普勒超聲(TCD)檢查,觀察兩組治療前後顱內血管血流的變化.結果 治療組治愈12例、顯效15例、有效8例、無效1例、總有效率97.2％,對照組分彆為7例、12例、6例、8例、75.8％,兩組臨床療效差異有統計學意義(Z=2.240,P＜0.05).治療20d後,對照組MCA、ACA、PCA、BA、VA平均流速與治療前差異均無統計學意義(均P＞0.05)；治療組MCA、ACA、PCA、BA、VA平均流速均低于對照組(t=-2.65、-2.44、-3.92、-3.31、-4.68.均P＜0.05).結論 全天痳膠囊配閤降血壓藥較單用降壓藥治療能顯著改善高血壓患者的療效及腦血流狀態.
목적 관찰전천마효낭대고혈압환자뇌혈류적영향.방법 장69례고혈압환자수궤분위치료조36례화대조조33례,치료조환자접수전천마효낭배합강압약치료,대조조환자단용강압약치료.량조환자치료전급치료후20d행경로다보륵초성(TCD)검사,관찰량조치료전후로내혈관혈류적변화.결과 치료조치유12례、현효15례、유효8례、무효1례、총유효솔97.2％,대조조분별위7례、12례、6례、8례、75.8％,량조림상료효차이유통계학의의(Z=2.240,P＜0.05).치료20d후,대조조MCA、ACA、PCA、BA、VA평균류속여치료전차이균무통계학의의(균P＞0.05)；치료조MCA、ACA、PCA、BA、VA평균류속균저우대조조(t=-2.65、-2.44、-3.92、-3.31、-4.68.균P＜0.05).결론 전천마효낭배합강혈압약교단용강압약치료능현저개선고혈압환자적료효급뇌혈류상태.
Objective To observe the influence of Gastrodia data capsule on cerebral blood flow in the treatment of patients with hypertension.Methods A total of 69 patients with hypertension were divided into the treatment group(36 cases) and the control group(33 cases).The treatment group received treatment of Gastrodia clara capsule combined with antihypertensive drug,the control group received treatment of antihypertensive drug only.Two groups received TCD test before and 20 days after treatment,and the changes of blood flow of intracranial vessels before and after treatment were assessed.Results The total effective rate in treatment group was 97.2％,12 cases cured,15 cases of tangible effectiveness,8 cases of effectiveness,1 case of invalidity.The total effective rate in control group was 75.8％,7 cases cured,12 cases of tangible effectiveness,6 cases of effectiveness,8 case of invalidity,The difference of clinical efficacy between the two groups was statistically significant ( Z =2.240,P ＜ 0.05 ).The mean velocity of MCA,ACA,PCA,BA,VA of control group 20 days after treatment was not statistically different compared to those before treatment.The mean velocity of MCA,ACA,PCA,BA,VA of treatment group 20 days after treatment was lower than those before treatment(t =-2.65,-2.44,-3.92,-3.31,-4.68,all P＜0.05).Conclusion The treatment of Gastrodia elata capsule conbined with antihypertensive drug can significantly improve curative effect of patients with hypertension and improve the condition of cerebral blood flow.
