益气活血法治疗脑梗死患者颈动脉粥样硬化的临床观察

摘要

目的 观察益气活血法治疗脑梗死患者颈动脉粥样硬化的临床疗效,并对其安全性进行评价.方法 将61例患者按照随机数字表法分为两组,对照组给予西医基础治疗(抗血小板聚集药物和他汀类药物),治疗组在前者基础上加予益气活血中药,疗程均为6个月,观察其临床疗效.结果 治疗组总有效率高于对照组,经治疗后在中医证候积分、颈动脉内膜中层厚度(CIMT)、颈动脉硬化斑块积分、血脂水平、C反应蛋白、凝血功能、降低复发率方面优于对照组,且无增加不良反应的风险.结论 益气活血法治疗脑梗死患者颈动脉粥样硬化疗效肯定,且无明显不良反应.%Objective:To observe the clinical effects of Yiqihuoxue Powders on cerebral infarction with carotid atherosclerosis.Methods:61 patients were divided into two groups,the control group were received general therapy (antiplatelet agents and statins lipid-lowering drugs),and the treatment group were received Yiqihuoxue Powders based on the control group.After the treatment course for 6 months,the clinical effects were observed between two groups.Results:Some indices in the treatment group was superior to those in the control group including the main symptoms,the recurrence rate,the blood lipid level,the blood coagulation function,the C-reactive protein,the carotid artery plaque score and the intima-media thickness.The treatment group was more safe than the control group.Conclusion:It is definite of the clinical effects with Yiqihuoxue Powders on cerebral infarction with carotid atherosclerosis which is no adverse reaction.