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tenantId=1146029695717560320, journalId=1315121837170065538, language=CN, title=犀角地黄汤联合阿加曲班治疗静脉溶栓时间窗内急性脑梗死, columnId=null, journalTitle=中医学报, columnName=临床研究, runingTitle=null, highlight=null, articleAbstract=目的:观察犀角地黄汤联合阿加曲班治疗静脉溶栓时间窗内急性脑梗死(acute cerebral infarction,ACI)的临床疗效及其对炎症因子、凝血和脑血流动力学的影响。方法:80例静脉溶栓时间窗内的ACI患者按照随机数字法平均分为对照组和联合组。对照组给予阿加曲班,联合组在对照组治疗基础上给予犀角地黄汤,7 d为1个疗程。比较两组患者治疗后临床疗效、改良Rankin量表(modified Rankin scale,mRS)以及治疗前后美国国立卫生院卒中量表(National Institutes of Health Stroke Scale,NIHSS)评分、瘀热证候积分、血清炎症因子水平[超敏C反应蛋白(hypersensitive C-reactive protein,h CRP)、血清脂蛋白相关磷脂酶A2(lipoprotein-associated phospholipase A2,Lp-PLA2)、同型半胱氨酸(homocysteine,Hcy)]、凝血功能[凝血酶原时间(prothrombin time,PT)、活化部分凝血酶原时间(activated partial thromboplastin time,APTT)、国际标准化比率(international normalized ratio,INR)、凝血酶时间(thrombin time,TT)、D-二聚体(D-dimer,DD)、纤维蛋白原(fibrinogen,FIB)]和大脑中动脉(middle cerebral artery,MCA)的血流动力学参数[收缩峰血流速度(peak systolic velocity,Vs)、舒张末期血流流速(end diastolic velocity,Vd)、平均血流速度(mean velocity,Vm)]。结果:(1)治疗后,两组患者NIHSS评分、瘀热证候评分均显著降低(P<0.01),且联合组低于同期对照组(P<0.05)。(2)治疗后,联合组患者mRS评分低于对照组,有效率高于对照组(P<0.05)。(3)治疗后,两组患者h CRP、Lp-PLA2和Hcy水平均显著降低(P<0.01),且联合组CRP水平低于同期对照组(P<0.05),Lp-PLA2和Hcy水平显著低于同期对照组(P<0.01 )。(4 )治疗后,两组患者PT、APTT、INR、TT水平均明显下降(P<0.01),对照组DD和FIB水平显著降低(P<0.05),且联合组DD和FIB水平低于同期对照组(P<0.05)。(5)治疗后,两组患者MCA Vs、Vd、Vm水平显著升高(P<0.01),且联合组Vs、Vd、Vm高于同期对照组(P<0.05)。结论:犀角地黄汤联合加曲班治疗静脉溶栓时间窗内ACI疗效确切,可改善患者神经功能缺损,提高生活能力,可能与降低患者血清炎症因子水平、改善凝血功能和增加局部脑血流有关。, authors=null, authorsList=null, authorCompany=null, correspAuthors=null, authorNote=null, correspAuthorsNote=null, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=null)}, 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中医学报
|临床研究
2026
, 41
(1) :
214
-220
犀角地黄汤联合阿加曲班治疗静脉溶栓时间窗内急性脑梗死
全屏
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姜婧 1 ,2 ,3 , 钱冰冰 1 ,2 ,3 , 薛莲 1 ,2 ,3 , 李静波 1 ,2 ,3 , 赵帅 1 ,2 ,3 , 刘红权 1 ,2 ,3
作者信息
1. 南京大学医院
2. 江苏省中医药研究院
3. 南京中医药大学附属中西医结合医院
Affiliations
doi: 10.16368/j.issn.1674-8999.2026.01.030
文章导航
目的:观察犀角地黄汤联合阿加曲班治疗静脉溶栓时间窗内急性脑梗死(acute cerebral infarction,ACI)的临床疗效及其对炎症因子、凝血和脑血流动力学的影响。方法:80例静脉溶栓时间窗内的ACI患者按照随机数字法平均分为对照组和联合组。对照组给予阿加曲班,联合组在对照组治疗基础上给予犀角地黄汤,7 d为1个疗程。比较两组患者治疗后临床疗效、改良Rankin量表(modified Rankin scale,mRS)以及治疗前后美国国立卫生院卒中量表(National Institutes of Health Stroke Scale,NIHSS)评分、瘀热证候积分、血清炎症因子水平[超敏C反应蛋白(hypersensitive C-reactive protein,h CRP)、血清脂蛋白相关磷脂酶A2(lipoprotein-associated phospholipase A2,Lp-PLA2)、同型半胱氨酸(homocysteine,Hcy)]、凝血功能[凝血酶原时间(prothrombin time,PT)、活化部分凝血酶原时间(activated partial thromboplastin time,APTT)、国际标准化比率(international normalized ratio,INR)、凝血酶时间(thrombin time,TT)、D-二聚体(D-dimer,DD)、纤维蛋白原(fibrinogen,FIB)]和大脑中动脉(middle cerebral artery,MCA)的血流动力学参数[收缩峰血流速度(peak systolic velocity,Vs)、舒张末期血流流速(end diastolic velocity,Vd)、平均血流速度(mean velocity,Vm)]。结果:(1)治疗后,两组患者NIHSS评分、瘀热证候评分均显著降低(P<0.01),且联合组低于同期对照组(P<0.05)。(2)治疗后,联合组患者mRS评分低于对照组,有效率高于对照组(P<0.05)。(3)治疗后,两组患者h CRP、Lp-PLA2和Hcy水平均显著降低(P<0.01),且联合组CRP水平低于同期对照组(P<0.05),Lp-PLA2和Hcy水平显著低于同期对照组(P<0.01 )。(4 )治疗后,两组患者PT、APTT、INR、TT水平均明显下降(P<0.01),对照组DD和FIB水平显著降低(P<0.05),且联合组DD和FIB水平低于同期对照组(P<0.05)。(5)治疗后,两组患者MCA Vs、Vd、Vm水平显著升高(P<0.01),且联合组Vs、Vd、Vm高于同期对照组(P<0.05)。结论:犀角地黄汤联合加曲班治疗静脉溶栓时间窗内ACI疗效确切,可改善患者神经功能缺损,提高生活能力,可能与降低患者血清炎症因子水平、改善凝血功能和增加局部脑血流有关。
急性脑梗死
/
犀角地黄汤
/
阿加曲班
/
溶栓
/
炎症因子
/
凝血功能
/
血流动力学
姜婧, 钱冰冰, 薛莲, 李静波, 赵帅, 刘红权.
犀角地黄汤联合阿加曲班治疗静脉溶栓时间窗内急性脑梗死.
中医学报,
2026
, 41
(1)
: 214
-220
.
DOI: 10.16368/j.issn.1674-8999.2026.01.030
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doi: 10.16368/j.issn.1674-8999.2026.01.030
1. 南京大学医院
2. 江苏省中医药研究院
3. 南京中医药大学附属中西医结合医院
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2种不同金属材料的力学参数
科 Family 属数 Number of genus 种数 Number of species 占总种数比例 Percentage of total species (%) 属 Genus 种数 Number of species 占总种数比例 Percentage of total species (%) 鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78 小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39 多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39 红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87 小菇属 Mycena 11 5.26 光柄菇属 Pluteus 5 2.39 红菇属 Russula 17 8.13 栓菌属 Trametes 5 2.39
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