目的:观察半夏白术天麻汤加减联合康复训练对风痰瘀阻型急性脑梗死合并H型高血压患者神经功能及生活质量的影响。方法:将182例风痰瘀血型急性脑梗死合并H型高血压患者按照随机数字表法分为对照组和观察组,每组各91例。两组均接受西医基...目的:观察半夏白术天麻汤加减联合康复训练对风痰瘀阻型急性脑梗死合并H型高血压患者神经功能及生活质量的影响。方法:将182例风痰瘀血型急性脑梗死合并H型高血压患者按照随机数字表法分为对照组和观察组,每组各91例。两组均接受西医基础治疗,对照组给予康复训练治疗,观察组在对照组治疗的基础上联合半夏白术天麻汤加减。比较两组患者的临床疗效及治疗前后中医证候积分、美国国立卫生研究院卒中量表(national institutes of health stroke scale,NIHSS)评分、世界卫生组织生活质量评定简表(world health organization quality of life-bref,WHOQOL-BREF)评分、收缩压(systolic blood pressure,SBP)、舒张压(diastolic blood pressure,DBP)、同型半胱氨酸(homocysteine,Hcy)水平变化情况。结果:观察组有效率为94.51%,明显高于对照组的75.82%,差异具有统计学意义(P<0.05)。两组患者治疗后中医证候积分、NIHSS评分低于本组治疗前,WHOQOL-BREF评分高于本组治疗前,且治疗后组间比较,差异具有统计学意义(P<0.05)。两组患者治疗后HCY、SBP、DBP水平低于本组治疗前,且观察组治疗后低于对照组(P<0.05)。结论:半夏白术天麻汤加减结合康复训练治疗风痰瘀阻型急性脑梗死合并H型高血压,临床疗效确切,可促进患者神经功能的恢复,提高患者的生活质量。展开更多
Objective:The purpose of this investigation was to explore the characteristics of insulin resistance existing in the pathological development of phlegm and blood stasis of hyper lipodemia.Method:All the patients of hy...Objective:The purpose of this investigation was to explore the characteristics of insulin resistance existing in the pathological development of phlegm and blood stasis of hyper lipodemia.Method:All the patients of hyper lipodemia were divided into three group:35 cases of the syndrome of obstruction of the channels and collaterals from phlegm and blood stasis,33 cases of the syndrome of spleen asthenia with accumulation of phlegm and 29 cases of the syndrome of non phelgm and non blood stasis.At the same time 30 casses of normal group were observed.Then the integral of symptom and sign,fasting plasma glucose(FPG),fasting insulin(FINS),insulin sensitive index(ISI),insulin secretion function index(IS),lipid peroxide(LPO) and superoxide dismutase(SOD) were measured and done correlation analysis.Result:In both the syndrome of obstruction of the channels and collaterals from phlegm and blood stasis and the syndrome of spleen asthenia with accumulation of phlegm there was an increasing tendency of FPG,FINS,IS and LPO from the control group to non phelgm and non blood stasis to the syndrome of spleen asthenia with accumulation of phlegm to the syndrome of obstruction of the channels and collaterals from phlegm and blood stasis,but ISI and SOD decreased by turns.Simultaneously,there was obvious realation between the integral of symptom and sign of accumulation of phlegm and FPG or ISI(All P <0 05,0 01).However,the same association existed between the integral of symptom and sign of blood stasis and FINS or ISI(All P <0 05,0 01),in which the changes of ISI and the degree of correlation were more evident than the former.Conclusion:Insulin resistance has a certain effect on the the phthological development of phlegm and blood stasis.展开更多
文摘目的:观察半夏白术天麻汤加减联合康复训练对风痰瘀阻型急性脑梗死合并H型高血压患者神经功能及生活质量的影响。方法:将182例风痰瘀血型急性脑梗死合并H型高血压患者按照随机数字表法分为对照组和观察组,每组各91例。两组均接受西医基础治疗,对照组给予康复训练治疗,观察组在对照组治疗的基础上联合半夏白术天麻汤加减。比较两组患者的临床疗效及治疗前后中医证候积分、美国国立卫生研究院卒中量表(national institutes of health stroke scale,NIHSS)评分、世界卫生组织生活质量评定简表(world health organization quality of life-bref,WHOQOL-BREF)评分、收缩压(systolic blood pressure,SBP)、舒张压(diastolic blood pressure,DBP)、同型半胱氨酸(homocysteine,Hcy)水平变化情况。结果:观察组有效率为94.51%,明显高于对照组的75.82%,差异具有统计学意义(P<0.05)。两组患者治疗后中医证候积分、NIHSS评分低于本组治疗前,WHOQOL-BREF评分高于本组治疗前,且治疗后组间比较,差异具有统计学意义(P<0.05)。两组患者治疗后HCY、SBP、DBP水平低于本组治疗前,且观察组治疗后低于对照组(P<0.05)。结论:半夏白术天麻汤加减结合康复训练治疗风痰瘀阻型急性脑梗死合并H型高血压,临床疗效确切,可促进患者神经功能的恢复,提高患者的生活质量。
文摘Objective:The purpose of this investigation was to explore the characteristics of insulin resistance existing in the pathological development of phlegm and blood stasis of hyper lipodemia.Method:All the patients of hyper lipodemia were divided into three group:35 cases of the syndrome of obstruction of the channels and collaterals from phlegm and blood stasis,33 cases of the syndrome of spleen asthenia with accumulation of phlegm and 29 cases of the syndrome of non phelgm and non blood stasis.At the same time 30 casses of normal group were observed.Then the integral of symptom and sign,fasting plasma glucose(FPG),fasting insulin(FINS),insulin sensitive index(ISI),insulin secretion function index(IS),lipid peroxide(LPO) and superoxide dismutase(SOD) were measured and done correlation analysis.Result:In both the syndrome of obstruction of the channels and collaterals from phlegm and blood stasis and the syndrome of spleen asthenia with accumulation of phlegm there was an increasing tendency of FPG,FINS,IS and LPO from the control group to non phelgm and non blood stasis to the syndrome of spleen asthenia with accumulation of phlegm to the syndrome of obstruction of the channels and collaterals from phlegm and blood stasis,but ISI and SOD decreased by turns.Simultaneously,there was obvious realation between the integral of symptom and sign of accumulation of phlegm and FPG or ISI(All P <0 05,0 01).However,the same association existed between the integral of symptom and sign of blood stasis and FINS or ISI(All P <0 05,0 01),in which the changes of ISI and the degree of correlation were more evident than the former.Conclusion:Insulin resistance has a certain effect on the the phthological development of phlegm and blood stasis.
