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补阳还五汤联合针灸对老年脑卒中患者血管内皮功能与神经功能及血液流变学指标的影响

于潇 刘玉凤

中国药物经济学2025,Vol.20Issue(2):54-57,62,5.
中国药物经济学2025,Vol.20Issue(2):54-57,62,5.DOI:10.12010/j.issn.1673-5846.2025.02.010

补阳还五汤联合针灸对老年脑卒中患者血管内皮功能与神经功能及血液流变学指标的影响

Effects of Buyang Huanwu Decoction combined with Acupuncture on Vascular Endothelial Function,Nerve Function and Hemorheology Indexes in Elderly Patients with Stroke

于潇 1刘玉凤1

作者信息

  • 1. 济南市章丘区中医医院脑病科,济南 250200
  • 折叠

摘要

Abstract

Objective To explore the effects of Buyang Huanwu Decoction combined with acupuncture on vascular endothelial function,nerve function and hemorheology indexes in elderly patients with Cerebral vascular accident(CVA).Methods A total of 120 CVA patients treated in Zhangqiu District Hospital of Traditional Chinese Medicine of Jinan City from January 2022 to January 2024 were selected and divided into control group(conventional drugs combined with acupuncture treatment,n=60)and observation group(Buyang Huanwu decoction in addition to control group,n=60)according to random number table method.Vascular endothelial function,nerve function,hemorheology index and inflammatory factors were compared between the two groups before and after treatment.Results Before treatment,there were no differences in Endothelin-1(ET-1),Vascular pseudohemophilia factor(vWF),nitric oxide(NO),National Institutes of Health Stroke Scale(NIHSS)score,Neurological Impairment Scale(NDS)score,whole blood low tangential viscosity(WBLSV),whole blood high tangential viscosity(WBHSV),fibrinogen(FIB),blood fine cell specific volume(HCT),erythrocyte aggregation index(EAI),interleukin-6(IL-6)and tumor necrosis factor α(TNF-α)levels(P>0.05).After treatment,the levels of ET-1,vWF,WBLSV,WBHSV,FIB,HCT,EAI,IL-6,TNF-α and NIHSS and NDS scores in observation group were lower than those in control group(P<0.05),and the level of NO was higher than that in control group(P<0.05).Conclusion Buyang Huanwu Decoction combined with acupuncture in the treatment of elderly CVA patients can effectively improve nerve function,reduce the level of inflammatory factors,increase the health of patients'blood vessels,and maintain hemodynamic stability.

关键词

补阳还五汤/针灸/脑卒中/血管内皮功能/神经功能/血液流变学

Key words

Buyang Huanwu Decoction/Acupuncture/Stroke/Vascular endothelial function/Neural function/Hemorheology

分类

医药卫生

引用本文复制引用

于潇,刘玉凤..补阳还五汤联合针灸对老年脑卒中患者血管内皮功能与神经功能及血液流变学指标的影响[J].中国药物经济学,2025,20(2):54-57,62,5.

中国药物经济学

1673-5846

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