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Effects of Dengzhan Shengmai Capsule combined with butylphthalide soft capsule on oxidative stress indexes and serum Hcy and CRP levels in patients with vascular dementia

机译:邓小风胶囊结合丁基酞软胶囊对血管性痴呆患者氧化应激指数及血清HCY和CRP水平的影响

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摘要

This experiment was aimed to investigate the effect of Dengzhan Shengmai capsule combined with butylphthalide soft capsule on oxidative stress indexes and serum homocysteine (Hcy) and C-reactive protein (CRP) levels in patients with vascular dementia (VD). From July 2017 to July 2019, 123 patients with VD in our hospital were selected as the research object, and each patient was assigned a random number according to the order of treatment. Among them, No. 1 to 41 were the control group A, No. 42 to 82 were the control group B, and No. 83 to 123 were the research group. Control group A was given butylphthalide soft capsules, control group B was Dengzhanshengmai capsules, and the research group was given Dengzhanshengmai capsules combined with butylphthalide softgels. Comparison of clinical efficacy, the incidence of adverse reactions, and improvement of symptoms [Montreal Cognitive Assessment Scale (MocA) score, Vascular Dementia TCM Syndrome Differentiation Scale (SDSVD) score], vascular endothelial function [NO, endothelin 1 (ET-1)], oxidative stress [lipid peroxide (LPO), superoxide dismutase (SOD), C Dialdehyde (MDA)], endoplasmic reticulum stress response (Hcy, CRP) related indicators before and after treatment in three groups. Results showed that the total effective rate of treatment in the study group was higher than that in the control groups A and B, the difference was statistically significant (p 0.05). Dengzhan Shengmai Capsule combined with butylphthalide soft capsule is the first treatment for VD, with definite curative effect, which can effectively reduce the damage of vascular endothelial function and inhibit oxidative stress response, antagonize the endoplasmic reticulum stress response, thereby further alleviating dementia symptoms and improving cognitive function.
机译:本实验旨在观察灯盏生脉胶囊联合丁苯酞软胶囊对血管性痴呆(VD)患者氧化应激指标及血清同型半胱氨酸(Hcy)和C反应蛋白(CRP)水平的影响。从2017年7月至2019年7月,选择我院123例VD患者作为研究对象,根据治疗顺序对每位患者进行随机编号。其中1号至41号为对照组A,42号至82号为对照组B,83号至123号为研究组。对照组A给予丁苯酞软胶囊,对照组B给予灯盏生脉胶囊,研究组给予灯盏生脉胶囊联合丁苯酞软凝胶。临床疗效比较、不良反应发生率和症状改善[蒙特利尔认知评估量表(MocA)评分、血管性痴呆中医辨证分型量表(SDSVD)评分)、血管内皮功能[NO、内皮素1(ET-1)]、氧化应激[过氧化脂质(LPO)、超氧化物歧化酶(SOD)、丙二醛(MDA)],三组治疗前后内质网应激反应(Hcy、CRP)相关指标比较。结果显示,研究组治疗总有效率高于对照组A和B,差异有统计学意义(P0.05)。灯盏生脉胶囊联合丁苯酞软胶囊是治疗VD的首选药物,疗效确切,能有效减轻血管内皮功能损伤,抑制氧化应激反应,对抗内质网应激反应,从而进一步缓解痴呆症状,改善认知功能。

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