1. 山东中医药大学附属医院周围血管病科
2. 山东省荣军总医院
3. 山东中医药大学附属医院周围血管病科 济南市文化西路42号,250011
纸质出版:2002
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[1]周涛,荣文平,陈柏楠,鲁东志,刘明.益气活血法治疗闭塞性动脉硬化症60例临床研究[J].中医杂志,2002(12):907-909+5.
Clinical study on treatment of 60 cases of arteriosclerosis obliterans by supplementing Qi and activating blood circulation method[J]. Journal of Traditional Chinese Medicine2002, (12): 907-909.
[1]周涛,荣文平,陈柏楠,鲁东志,刘明.益气活血法治疗闭塞性动脉硬化症60例临床研究[J].中医杂志,2002(12):907-909+5. DOI: 10.13288/j.11-2166/r.2002.12.022.
Clinical study on treatment of 60 cases of arteriosclerosis obliterans by supplementing Qi and activating blood circulation method[J]. Journal of Traditional Chinese Medicine2002, (12): 907-909. DOI: 10.13288/j.11-2166/r.2002.12.022.
目的:探讨益气活血中药方剂对早期闭塞性动脉硬化症(ASO)的治疗作用。方法:90例ASO患者随机分为2组
治疗2个月
观察2组治疗前后临床表现、血脂、血液流变学、血管内皮细胞功能、血流动力学等的变化。结果:冶疗组临床治愈率为61.67%
总有效率为100%;对照组临床治愈率为36.67%
总有效率为93.33%。对主要症状、体征的疗效
治疗组明显优于对照组(P
<
0.01)。对血脂的影响
治疗组治疗前后甘油三酯(TG)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)差异有显著性(P
<
0.01);血清总胆固醇(TC)、极低密度脂蛋白胆固醇(VLDL-C)、载脂蛋白A
1
(ApoA
1
)、载脂蛋白B
100
(ApoB
100
)亦有显著差异(P
<
0.05)。治疗组治疗后血液流变学各项指标较治疗前均明显下降(P
<
0.01);治疗后治疗组血浆血栓素B
2
(TXB
2
)、6-酮前列腺素F
1α
(6-keto-PGF
1α
)恢复至正常(P
<
0.05)
血浆内皮素(ET-1)水平降低
一氧化氮(NO)值增高(P
<
0.01)。两组的TXB
2
及对照组TXB
2
、6-keto-PGF
1α
与正常组相比仍有显著差异(P
<
0.01)。治疗组治疗后股、腘动脉管腔宽度和血流量有增加
踝/肱指数明显升高(P
<
0.01)。结论:益气活血方剂黄芪通脉合剂治疗早期ASO能明显改善临床症状
并具有调节血脂代谢、抗血栓形成、保护血管内皮细胞功能等作用。
To explore therapeutic action of the formula for supplementing Qi and activating blood circulation on early arteriosclerosis obliterans (ASO). Methods: 90 cases of ASO were randomly divided into 2 groups and treated for 2 months
and changes of their clinical manifests
blood lipids
hemorheology. vascular endotheliocyte function and hemodynamics were investigated before and after treatment. Results: The clinical cured rate and the total effective rate in the treatment group were 61. 67% and 100% respectively
and 36. 67% and 93. 33% in the control group. The treatment group in therapeutic effect for main symptoms and signs was superior to the control group (P < 0. 01). There were significant differences in triglyceride (TG). high density lipoprotein-cholesterol (HDL-C )
lower density lipoprotein-cholesterol(LDL-C) (P<0. 01) and serum total cholesterol (TC). very lower density lipoprotein-cholesterol (VLDL-C). apoprotein A1(ApoA1) and apoprotein B100 (ApoB100) (P<0. 05) before and after treatment. After treatment
the various indexes of hemorheology decreased significantly (P<0. 01). and plasma thromboxane B2 (TXB2) and 6-keto-prostaglandin F1α (6-keto-PGF1α) restored to normal; plasma endothelin (ET-1) level decreased
nitric oxide (NO) increased (P < 0. 05) in the treatment group. TXB2 in the both groups and 6-keto-PGF1αin the control group were significantly different from those of the normal group (P<0. 01). After treatment
in the treatment group the width of lumen and volume of blood flow in the posterior femoral and poplitead arteries increased
and the ankle/ humeral index increased significantly (P<0. 01). Conclusion: Huang Qi Tong Mai Mixture can obviously improve clinical symptoms of early ASO. and also can regulate lipid metabolism
antagonize thrombosis and protect vascular endotheliacyte function.
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