ZHANG Weiwei, XU Qin, WANG Guoqiang, et al. Clinical Study on 291 Cases of Acute Cerebral Infarction with Myocardial Ischemia Treated by Naoxintong Capsule(脑心通胶囊) Combined with Western Medicine[J]. Journal of Traditional Chinese Medicine2015, 56(19): 1651-1654.
ZHANG Weiwei, XU Qin, WANG Guoqiang, et al. Clinical Study on 291 Cases of Acute Cerebral Infarction with Myocardial Ischemia Treated by Naoxintong Capsule(脑心通胶囊) Combined with Western Medicine[J]. Journal of Traditional Chinese Medicine2015, 56(19): 1651-1654.DOI: 10.13288/j.11-2166/r.2015.19.009.
Objective To observe clinical effects and its influencing factors of acute cerebral infarction with myocardial ischemia treated by Naoxintong Capsule. Methods Totally 528 patients with acute cerebral infarction with myocardial ischemia were divided into 291 cases in treatment group and 237 cases in control group. The control group was given western medicine to conventional treatment. The treatment group
on the basis of conventional treatment
took Naoxintong Capsule
4 tablets each time( 0. 4 g each tablet)
three times a day for 12 weeks. The researchers used the national institutes of health stroke scale( NIHSS) and modified Rankin to compare neurological function of both groups before and after the treatment
as well as compared curative effect in myocardial ischemia and neurological function of two groups after the treatment
and used Logistic regression analysis method to explore influencing factors of curative effect. Results After treatment for 8 weeks and 12 weeks
in the treatment group curative effect of myocardial ischemia took effect accounting for 27. 7% and 31. 3% respectively
that in the control group accounting for13. 9% and 16. 9% respectively. Effective rate of myocardial ischemia in the treatment group were significantly higher than in the control group( P < 0. 01). According to the score of NIHSS and modified Rankin
effective rate of neurological deficit in the treatment group were significantly higher than in the control group( P < 0. 05). Multi-factor analysis showed that the influencing factors of myocardial ischemia improved involved the therapy of Naoxintong( P =0. 005) and the level of aspartate transaminase( AST) at the 12 th weeks( P = 0. 047). The influencing factors of neurological function improvement involved the treatment of Naoxintong
baseline systolic pressure and the level of creatinine
past heart disease or hyperlipidemia history. Conclusion Clinical effects of Naoxintong Capsule to treat acute cerebral infarction with myocardial ischemia is definite and can be impacted by past correlative medical history and symptoms.