Clinical Efficacy and Safety of Qi-Tonifying and Blood-Invigorating Method Combined with Western Medicine Conventional Therapy in the Treatment of Qi-Deficiency and Blood-Stasis Type of Acute Ischemic Stroke
ZHANG Liman, LUO Hua, YANG Jie, et al. Clinical Efficacy and Safety of Qi-Tonifying and Blood-Invigorating Method Combined with Western Medicine Conventional Therapy in the Treatment of Qi-Deficiency and Blood-Stasis Type of Acute Ischemic Stroke[J]. 2021,21(10):1180-1183.
ZHANG Liman, LUO Hua, YANG Jie, et al. Clinical Efficacy and Safety of Qi-Tonifying and Blood-Invigorating Method Combined with Western Medicine Conventional Therapy in the Treatment of Qi-Deficiency and Blood-Stasis Type of Acute Ischemic Stroke[J]. 2021,21(10):1180-1183. DOI: 10.14009/j.issn.1672-2124.2021.10.007.
OBJECTIVE: To probe into the clinical efficacy and safety of qi-tonifying and blood-invigorating method combined with western medicine conventional therapy in the treatment of qi-deficiency and blood-stasis type of acute ischemic stroke. METHODS: Totally 100 patients with acute ischemic stroke admitted into Shijiazhuang Hospital of Traditional Chinese Medical from Dec. 2020 to Feb. 2021 were selected and randomly divided into observation group and control group via SAS
with 50 cases in each group. The control group was given western medicine for conventional therapy according to medical guidelines for diagnose and treatment
while the observation group was given prescription of qi-tonifying and blood-invigorating based on the control group. The clinical efficacy
related indicators and incidences of adverse drug reactions of two groups were observed. RESULTS: The total effective rate of observation group was 88. 00%(44/50)
which was significantly higher than that of the control group(72. 00%
36/50)
with statistically significant difference(P<0. 05). The NIHSS score
serum total cholesterol
triacylglycerol
low density lipoprotein cholesterol
fibrinogen
plasma viscosity
whole blood low-shear viscosity
whole blood medium-shear viscosity
whole blood high-shear viscosity
C-reactive protein
homocysteine levels of both groups after treatment were significantly lower than those of before treatment; and the above indicators of observation group were significantly lower than those of the control group
with statistically significant differences(P< 0. 05). The high density lipoprotein cholesterol levels of both groups after treatment were significantly higher than those of before treatment
the plasma thrombin time
plasma prothrombin time and activated partial thrombin time of both groups had been significantly prolonged after treatment
the above indicators of observation group were significantly better than those of the control group
with statistically significant differences(P< 0. 05). No adverse reactions occurred in both groups.CONCLUSIONS: The clinical efficacy of qi-tonifying and blood-invigorating method combined with western medicine conventional therapy in the treatment of qi-deficiency and blood-stasis type of acute ischemic stroke is remarkable
which can promote the recovery of neurological function
regulate lipid metabolism
improve coagulation function and blood flow
reduce C-reactive protein and homocysteine levels
with good safety and efficiency.
关键词
急性缺血性脑卒中益气活血化痰开窍中医药神经缺损程度
Keywords
Acute ischemic strokeQi-tonifying and blood-invigoratingPhlegm-resolving and resuscitation-inducingTraditional Chinese medicineDegree of nerve defect