中国医药导报
中國醫藥導報
중국의약도보
CHINA MEDICAL HERALD
2014年
29期
28-30,34
,共4页
郝树森%张丽英%高连生%康红霞%杨晓玲%李军%常宁%綦航
郝樹森%張麗英%高連生%康紅霞%楊曉玲%李軍%常寧%綦航
학수삼%장려영%고련생%강홍하%양효령%리군%상저%기항
短暂性脑缺血发作%超声波%疏血通%总磷脂%椎动脉峰时
短暫性腦缺血髮作%超聲波%疏血通%總燐脂%椎動脈峰時
단잠성뇌결혈발작%초성파%소혈통%총린지%추동맥봉시
Transient ischemic attack%Ultrasound%Shuxuetong%Total phospholipid%Vertebral artery peaks
目的：探讨体外超声波联合疏血通治疗短暂性脑缺血发作的临床效果及观察治疗前后血浆溶血磷脂酸极性相似总磷脂(AP)、椎动脉峰时的改变。方法选择2012年10月~2013年2月河北省石家庄市第八医院内科收治的短暂性脑缺血发作患者110例为研究对象，根据治疗方法不同将其分为联合治疗组(n=60)和对照组(n=50)。两组均给予疏血通6 mL加入0.9%氯化钠250 mL静脉滴注，每日1次，连用14 d，联合治疗组在对照组治疗的基础上加用体外(头部)超声波，每日2次，连用14 d。检测并比较两组治疗前后AP、椎动脉峰时及疗效。结果治疗后，联合治疗组和对照组AP[(3.82±0.80)、(4.25±0.54)U]及椎动脉峰时[(0.126±0.009)、(0.133±0.012)s]较治疗前[AP：(6.43±1.52)、(6.26±1.52)U；椎动脉峰时：(0.162±0.013)、(0.164±0.013)s]显著降低，差异均有统计学意义(P<0.05)，治疗后联合治疗组患者AP和椎动脉峰时均明显低于对照组，差异均有统计学意义(P<0.05)。联合治疗组总有效率(98.3%)显著高于对照组(74.0%)，差异有高度统计学意义(P<0.01)。结论体外超声波联合疏血通治疗短暂性脑缺血发作有很好的效果。
目的：探討體外超聲波聯閤疏血通治療短暫性腦缺血髮作的臨床效果及觀察治療前後血漿溶血燐脂痠極性相似總燐脂(AP)、椎動脈峰時的改變。方法選擇2012年10月~2013年2月河北省石傢莊市第八醫院內科收治的短暫性腦缺血髮作患者110例為研究對象，根據治療方法不同將其分為聯閤治療組(n=60)和對照組(n=50)。兩組均給予疏血通6 mL加入0.9%氯化鈉250 mL靜脈滴註，每日1次，連用14 d，聯閤治療組在對照組治療的基礎上加用體外(頭部)超聲波，每日2次，連用14 d。檢測併比較兩組治療前後AP、椎動脈峰時及療效。結果治療後，聯閤治療組和對照組AP[(3.82±0.80)、(4.25±0.54)U]及椎動脈峰時[(0.126±0.009)、(0.133±0.012)s]較治療前[AP：(6.43±1.52)、(6.26±1.52)U；椎動脈峰時：(0.162±0.013)、(0.164±0.013)s]顯著降低，差異均有統計學意義(P<0.05)，治療後聯閤治療組患者AP和椎動脈峰時均明顯低于對照組，差異均有統計學意義(P<0.05)。聯閤治療組總有效率(98.3%)顯著高于對照組(74.0%)，差異有高度統計學意義(P<0.01)。結論體外超聲波聯閤疏血通治療短暫性腦缺血髮作有很好的效果。
목적：탐토체외초성파연합소혈통치료단잠성뇌결혈발작적림상효과급관찰치료전후혈장용혈린지산겁성상사총린지(AP)、추동맥봉시적개변。방법선택2012년10월~2013년2월하북성석가장시제팔의원내과수치적단잠성뇌결혈발작환자110례위연구대상，근거치료방법불동장기분위연합치료조(n=60)화대조조(n=50)。량조균급여소혈통6 mL가입0.9%록화납250 mL정맥적주，매일1차，련용14 d，연합치료조재대조조치료적기출상가용체외(두부)초성파，매일2차，련용14 d。검측병비교량조치료전후AP、추동맥봉시급료효。결과치료후，연합치료조화대조조AP[(3.82±0.80)、(4.25±0.54)U]급추동맥봉시[(0.126±0.009)、(0.133±0.012)s]교치료전[AP：(6.43±1.52)、(6.26±1.52)U；추동맥봉시：(0.162±0.013)、(0.164±0.013)s]현저강저，차이균유통계학의의(P<0.05)，치료후연합치료조환자AP화추동맥봉시균명현저우대조조，차이균유통계학의의(P<0.05)。연합치료조총유효솔(98.3%)현저고우대조조(74.0%)，차이유고도통계학의의(P<0.01)。결론체외초성파연합소혈통치료단잠성뇌결혈발작유흔호적효과。
Objective To investigate the clinical efficacy of ultrasound combined with Shuxuetong in treating transient ischemic attack and the change of plasma lysophosphatidic acid polarity similar total phospholipids (AP), the peak time of the vertebral artery before and after treatment. Methods 110 cases of patients with transient ischemic attack from October 2012 to February 2013 in the Eighth Hospital of Shijiazhuang were selected as study objects, and they were di-vided into combination treatment group (n = 60) and control group (n = 50); the patients in two groups were given Shuxuetong 6 mL in 0.9% sodium chloride 250 mL, 1 time per day, for 14 days; combination treatment group were giv-en the vitro (head) ultrasound treatment in addition, 2 times per day, for 14 days. AP and vertebral artery peak time before and after treatment were detected and compared, the efficacy of two groups were observed and compared. Re-sults After treatment, the AP and vertebral artery peak of the combination treatment group and control group [AP:(3.82±0.80), (4.25±0.54) U; vertebral artery peak time: (0.126±0.009), (0.133±0.012) s] were significantly reduced, compared with pre-treatment [AP:(6.43±1.52), (6.26±1.52) U;vertebral artery peak time:(0.162±0.013), (0.164±0.013) s], the differences were statistically significant (P< 0.05), while after treatment, AP and vertebral artery peak time of the combination treatment group were lower than those of the control group, the differences were statistically significant (P<0.05). The total efficiency of the combined treatment group (98.3%) was significantly higher than that of the con-trol group (74.0%), the difference was statistically significant (P< 0.01). Conclusion Ultrasound combined with Shuxu-etong in treating transient ischemic attacks have a good effect.
