中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
13期
86-87
,共2页
川芎嗪%银丹心脑通%椎-基底动脉供血不足%临床观察
川芎嗪%銀丹心腦通%椎-基底動脈供血不足%臨床觀察
천궁진%은단심뇌통%추-기저동맥공혈불족%림상관찰
TMP%silver loyalty Naotong%vertebral - basilar artery insufficiency%clinical observation
目的：观察川芎嗪与银丹心脑通胶囊联合治疗椎-基底动脉供血不足的临床效果。方法：2011年1月-2012年12月收治椎-基底动脉供血不足患者96例，随机分为治疗组和对照组，两组各48例。治疗组给予常规剂量胞二磷胆碱静滴，川芎嗪粉针0.24g 加入0.9%氯化钠注射液250ml 中静滴，1次/日；银丹心脑通胶囊口服，3粒/次，3次/日。对照组给予0.5g胞二磷胆碱加入0.9%氯化钠注射液250ml中静滴，1次/日；丹参注射液250ml静滴，1次/日，治疗1周后观察两组的临床治疗效果。结果：两组患者治疗前的主要症状积分差异无统计学意义(P＞0.05)，治疗后两组的主要症状积分均较治疗前降低，差异均有统计学意义(P＜0.05)。治疗后，治疗组痊愈37例，显效8例，有效2例，无效1例，总有效率97.9%。对照组痊愈16例，显效10例，有效7例，无效16例，总有效率68.7%。治疗组的治疗有效率显著高于对照组，差异具有统计学意义(P＜0.05)。结论：联合使用川芎嗪与银丹心脑通胶囊治疗椎-基底动脉供血不足，临床效果安全，高效，值得临床广泛推广。
目的：觀察川芎嗪與銀丹心腦通膠囊聯閤治療椎-基底動脈供血不足的臨床效果。方法：2011年1月-2012年12月收治椎-基底動脈供血不足患者96例，隨機分為治療組和對照組，兩組各48例。治療組給予常規劑量胞二燐膽堿靜滴，川芎嗪粉針0.24g 加入0.9%氯化鈉註射液250ml 中靜滴，1次/日；銀丹心腦通膠囊口服，3粒/次，3次/日。對照組給予0.5g胞二燐膽堿加入0.9%氯化鈉註射液250ml中靜滴，1次/日；丹參註射液250ml靜滴，1次/日，治療1週後觀察兩組的臨床治療效果。結果：兩組患者治療前的主要癥狀積分差異無統計學意義(P＞0.05)，治療後兩組的主要癥狀積分均較治療前降低，差異均有統計學意義(P＜0.05)。治療後，治療組痊愈37例，顯效8例，有效2例，無效1例，總有效率97.9%。對照組痊愈16例，顯效10例，有效7例，無效16例，總有效率68.7%。治療組的治療有效率顯著高于對照組，差異具有統計學意義(P＜0.05)。結論：聯閤使用川芎嗪與銀丹心腦通膠囊治療椎-基底動脈供血不足，臨床效果安全，高效，值得臨床廣汎推廣。
목적：관찰천궁진여은단심뇌통효낭연합치료추-기저동맥공혈불족적림상효과。방법：2011년1월-2012년12월수치추-기저동맥공혈불족환자96례，수궤분위치료조화대조조，량조각48례。치료조급여상규제량포이린담감정적，천궁진분침0.24g 가입0.9%록화납주사액250ml 중정적，1차/일；은단심뇌통효낭구복，3립/차，3차/일。대조조급여0.5g포이린담감가입0.9%록화납주사액250ml중정적，1차/일；단삼주사액250ml정적，1차/일，치료1주후관찰량조적림상치료효과。결과：량조환자치료전적주요증상적분차이무통계학의의(P＞0.05)，치료후량조적주요증상적분균교치료전강저，차이균유통계학의의(P＜0.05)。치료후，치료조전유37례，현효8례，유효2례，무효1례，총유효솔97.9%。대조조전유16례，현효10례，유효7례，무효16례，총유효솔68.7%。치료조적치료유효솔현저고우대조조，차이구유통계학의의(P＜0.05)。결론：연합사용천궁진여은단심뇌통효낭치료추-기저동맥공혈불족，림상효과안전，고효，치득림상엄범추엄。
Objective:To observe the TMP and silver loyalty brain capsule combined treatment of vertebral-basilar artery insufficiency clinical results.Methods:96 cases of vertebrobasilar insufficiency treated in our hospital from January 2011 to December 2012 were randomly divided into treatment group and control group,each group have 48 cases.The treatment group received conventional doses of citicoline infusion,powder for injection 0.24g TMP in 0.9% sodium chloride injection 250ml intravenous infusion,1 times/day;silver loyalty brain capsule orally,3 capsules/time,3 times/day.The control group received 0.5g citicoline in 0.9% sodium chloride injection 250ml intravenous infusion,1 time/day;Salvia Injection 250ml intravenous infusion,1 time/day,1 week after treatment were observed clinically in treatment.Results:The main symptom score before treatment groups were not significantly different(P>0.05),the main symptoms after treatment than before treatment two points lower,the difference was statistically significant(P<0.05).After treatment,the treatment group cured 37 cases,8 cases,2 cases and 1 case,the total efficiency of 97.9%.Cured 16 cases in the control group,10 cases markedly effective in 7 cases,16 cases,the total efficiency of 68.7% .The efficiency of the treatment group was significantly higher,the difference was statistically significant(P<0.05) Conclusion:The combined use of TMP and silver loyalty brain capsule treated on vertebral-basilar artery insufficiency.The clinical results was safely and efficiently.It is worth to be widely promote.
