脑溢安颗粒剂对急性脑出血病人血浆儿茶酚胺的影响

Effects of plasm catecholamines contents on acute cerebral hemorrhage treated with Nao Yi an granule

为探讨脑溢安颗粒剂治疗急性脑出血的疗效机制，对３８ 例急性脑出血患者采用脑溢安颗粒剂（ 中药组） 和西药（ 西药组） 治疗，观察患者治疗前后血浆中去甲肾上腺素（ ＮＥ） 、肾上腺素（Ｅ） 和多巴胺（ＤＡ）的变化。结果表明：急性脑出血患者血浆中ＮＥ，Ｅ 和ＤＡ 含量均较正常人对照组明显增高（ Ｐ ＜ ０ ．０１） ；而且随着患者脑血出血量的增加或病情的加重而升高。患者经治疗后，中药组血浆ＮＥ，Ｅ 和ＤＡ 含量均较治疗前明显降低（ Ｐ ＜ ０ ．０１） ；而西药组较治疗前降低不明显（ Ｐ ＞ ０ ．０５） ；中药组较西药组明显降低（ Ｐ ＜ ０ ．０１） 。提示脑溢安颗粒剂能有效地降低血浆ＮＥ，Ｅ 和ＤＡ 含量，解除患者脑血管痉挛，减轻脑水肿，改善脑组织微循环，增加组织血供和能量供应，改善脑组织缺血缺氧状态，提高临床疗效。

In order to investigate the efficacy mechanism of Nao Yi an(NYA) granule on acute cerebral hemorrhage(ACH), 38 cases of ACH were treated with NYA granule(NYA group) or with Western Medicine(WM group). The contents of their plasmal NE, E, and DA before and after treatments were observed. The results showed that the contents of the plasmal NE, E and DA increase remarkably, compared with those of normal control group(P<0.01), and accompanied by the increase of volume of hemorrhage or the gravity of the disease. After treatment, the contents of the plasmal NE, E and DA in NYA group are notably lower than those before the treatment(P<0.01), but in WM group, they are not significantly lower than those before the treatment(P>0.05), and they are strikingly lower in NYA group than in WM group. It is indicated that the NYA group can effectively decrease the contents of plasmal NE, E and DA, to remove cerebrovascular spasm, to relieve cerebral edema, to improve microcirculation of brain tissue, to increase blood and energy supplies, anticerebral secondary ischemia and hypoxia and improve the clinical effects.