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1.
黄芪注射液联合复方丹参注射液治疗急性脑梗死30例   总被引:1,自引:0,他引:1  
目的 观察黄芪注射液联合复方丹参注射液治疗急性脑梗死 (ACI)的疗效。方法  6 0例ACI分为 2组 ,治疗组用复方丹参注射液 16~ 2 0ml加 5 %葡萄糖注射液 2 5 0ml,静脉滴注 ,每日 1次 ,黄芪注射液 30ml加 5 %葡萄糖 2 5 0ml,静脉滴注 ,每日 1次 ;对照组单纯用复方丹参注射液 ,剂量、方法同治疗组 ,疗程均为 15d ,连续治疗 2个疗程。结果 治疗组总有效率高于对照组 (P <0 .0 5 )。结论 黄芪注射液联合复方丹参注射液治疗ACI效果明显  相似文献   

2.
目的 观察复方丹参注射液联用纳络酮治疗急性脑梗死 (ACI)临床效果。方法  6 7例ACI患者分为两组 ,对照组 36例 ,采用复方丹参 2 0ml加低分子右旋糖酐 5 0 0ml静滴 ,每日 1次 ,并同时使用钙离子拮抗剂等基础治疗 ;治疗组 31例 ,在此基础上 ,加纳络酮 1.2mg于 10 %葡萄糖 2 5 0ml中静滴 ,每日 1次 ,15d后对两组疗效进行比较。结果 治疗组总有效率 (80 .6 5 % )明显高于对照组 (5 0 % )。结论 复方丹参联用纳络酮治疗ACI疗效肯定 ,副作用少  相似文献   

3.
疏血通治疗46例缺血性脑血管病的疗效分析   总被引:1,自引:0,他引:1  
目的观察疏血通治疗缺血性脑血管病的疗效。方法将92例缺血性脑血管病患者随机分为两组。对照组46例给予低分子右旋糖酐加复方丹参静点,一周后改为灯盏花素40mg加入706代血浆500ml中静点,每日一次共用两周。观察组46例除给予低分子右旋糖酐加复方丹参外,另加用疏血通6ml加入生理盐水300ml静点,每日一次,共用两周,两周后改为普通药物治疗。此外,两组均给予调控血糖、血压、血三酯等治疗。结果观察组和对照组总有效率为97.8%和84.8%。观察组明显优于对照组,两组差异有显著性(P〈0.05)。结论 疏血通联合低右、丹参治疗缺血性脑血管病优于单独使用复方丹参及灯盏花素。  相似文献   

4.
利多卡因治疗眩晕症60例   总被引:3,自引:1,他引:2  
目的 :观察利多卡因静注治疗眩晕症即时及远期的临床效果。方法 :随机将1 0 8例眩晕症患者分为治疗组 60例 ,对照组 48例 ,均于发病 2 4 h内治疗。对照组采用低分子右旋糖酐 5 0 0 ml,复方丹参注射液 30 ml静脉滴注 ,每日 1次 ;治疗组在对照组的基础上加用 1 0 0 mg利多卡因 ,稀释于 1 0 %葡萄糖 45 ml内 ,以 3ml/min的速度缓慢静推 ,每日 1次 ,两组均连用 2个疗程 ,观察治疗后 4h及 2 4 h的即时及 1 0 d长期疗效。结果 :治疗组远期治愈率、总有效率均高于对照组 ,且短时有效率远远高于对照组 ,有统计学意义 ( P<0 .0 5 )。结论 :利多卡因联合低分子右旋糖酐及复方丹参注射液治疗眩晕症有良好的远期临床疗效和短时症状缓解疗效 ,值得进一步临床应用及研究。  相似文献   

5.
目的:观察银杏黄酮苷与复方丹参治疗血管性眩晕的临床疗效.方法:选择发病时间在3h~5天的137例血管性眩晕患者.137例患者随机分为银杏黄酮苷治疗组71例与复方丹参对照组66例.治疗组银杏黄酮苷注射液70mg加入5%葡萄糖250ml中静脉滴注,每日1次,连续10天为1疗程.对照组:复方丹参注射液16ml加入5%葡萄糖250ml中静脉滴注,每日1次,连续10天为1疗程.两组患者均连续治疗2个疗程,并同时应用三磷酸腺苷40mg、辅酶A 100U和维生素C 2g加入5%葡萄糖250ml缓慢静脉滴注(如为糖尿病患者改用0.9%盐水).结果:症状和体征明显改善.治疗组的有效率高于对照组(P<0.01).结论:银杏黄酮苷治疗血管性眩晕优于复方丹参.  相似文献   

6.
弥可保与前列地尔合用治疗糖尿病周围神经病变   总被引:1,自引:0,他引:1  
目的:观察弥可保与前列地尔合用治疗糖尿病周围神经病变的临床疗效。方法:选择2型糖尿病并有不同程度周围神经病变症状患者52例,随机分为2组。治疗组27例,给以生理盐水100ml静点,前列地尔10μg入壶,每日1次,同时每日肌注弥可保500μg;对照组加用复方丹参注射液20ml,加入生理盐水250ml静点,每日1次,疗程均为2周。结果:治疗组总有效率85.2%,明显高于对照组的56.0%,病人尺神经、胫神经及腓总神经传导速度的有效率也明显提高(P<0.05)。结论:弥可保与前列地尔合用可明显改善对糖尿病周围神经病变的治疗效果。  相似文献   

7.
丹参治疗组36例,常规治疗组38例。丹参组在基础治疗上加用复方丹参注射液16~20ml加50%葡萄糖250~500ml中静滴,每日1次,2周为1疗程。结果丹参组有效率为65.80%,尤其对代偿期效果好(87.5%),对照组有效率为44.7%,丹参组  相似文献   

8.
目的 观察复方丹参联合氯吡格雷治疗不稳定型心绞痛的临床疗效.方法 选择符合美国心脏病学院(ACC)和美国心脏病学会(AHA)诊断标准的不稳定型心绞痛病人126例,随机分为治疗组76例,对照组50例,两组病人均先给予常规治疗,治疗组另加用氯吡格雷75mg/d、每日一次口服、复方丹参注射液20ml每日一次静点.2组均连用7d,观察用药前后心绞痛发作频率,用药后心电图变化的变化.结果 治疗组有效率81.57%,对照组有效率74%,经χ2 检验,P<0.05.结论 复方丹参联合氯吡格雷治疗不稳定性心绞痛疗效满意.  相似文献   

9.
付栋  尚勇  崔涛 《中原医刊》2005,32(6):42-43
目的评价葛根素葡萄糖注射液联合复方丹参注射液在冠心病心绞痛中的疗效。方法将80例冠心病心绞痛患者分为两组,治疗组44例,给予葛根素葡萄糖注射液0.5/250ml,复方丹参注射液16ml,加5%葡萄糖溶液250ml静脉滴注,每日1次,疗程15d。对照组36例,单纯应用复方丹参注射液16ml,加5%葡萄糖溶液250ml静脉滴注,每日1次,疗程15d。用药期间不停用口服硝酸酯类药物。结果治疗组显效31例,有效10例。无效3例,总有效率93.2%。对照组显效9例,有效16例,无效11例,总有效率69.4%。两组有显著差异。结论葛根素葡萄糖注射液应用在中老年冠心病人群中,疗效肯定,能够提高其生活质量。  相似文献   

10.
目的观察纳洛酮与复方丹参治疗重度新生儿缺氧缺血性脑病(HIE)的疗效.方法将40例重度HIE患儿分为治疗组28例和对照组12例,对照组常规综合治疗,治疗组在对照组基础上加用复方丹参注射液每次0.5~1 ml/kg,加入10%GS10 20 ml中静脉滴注,1天2次,连用7~14 d;纳洛酮首次0.1 mg/kg静脉注射,然后以每小时0.04mg/kg微量泵静脉注射,每日6~8 h,疗程3 d.结果治疗组纠正呼吸衰竭、循环衰竭及胃肠功能紊乱有效率分别为92.86%、82.14%和89.28%,而对照组有效率分别为41. 67%、33.33%和25.00%.2组比较有显著性差异(P<0.05).结论复方丹参和纳洛酮治疗重度HIE疗效显著,未见明显副作用.  相似文献   

11.
Objective To observe blood pressure change with age in salt-sensitive teenagers whose salt sensitivity were determined by repeated testing.Methods Salt sensitivity was determined through intravenous infusion of normal saline combined with volume-depletion by oral diuretic furosemide in 55 teenagers. After five years, salt sensitivity was re-examined and subject blood pressure was followed up. Blood pressure changes in salt-sensitive teenagers were compared to that of non-salt sensitive teenagers over five years.Results After 5 years, the repetition rate of salt sensitivity determined by intravenous saline loading is 92.7%. In teenagers with salt sensitivity on the baseline, both the systolic blood pressure increments and increment rates were much higher than non-salt sensitive teenagers (12.7±12.1 mmHg vs. 2.8±5.2 mmHg, P< 0.01; 12.2%± 12.0% vs. 2.5% ±4.4%, P< 0.001,respectively). There was a similar trend for diastolic blood pressure (8.4 ± 6.4 mmHg vs. 3.7 ± 6.4 mmHg, P = 0.052; 13.2% ±10.6 % vs. 6.8%± 10.1%, P = 0.053, respectively).Conclusions Salt sensitivity determined by intravenous saline loading showed good reproducibility. Blood pressure increments with age were much higher in salt-sensitive teenagers than non-salt sensitive teenagers, especially in terms of systolic blood pressure.  相似文献   

12.
Objective: To evaluatel the value of D-dimers in patients with acute aortic dissection (AAD). Methods: This study consisted of 16 patients with AAD and 27 non-AAD patients. Serum D-dimets were measured by Sta-Liatest D-DI immunoturbidimetric assay. Results: D-dimer level was higher (P < 0.001) in patients with AAD(7.91 ± 5.52 μg/ml) than that in non- AAD group(1.57±1.24 μg/ml). D-dimer was positive (>0.4 μg/ml) in all patients with AAD and in 10 control group patients (37%). Among patients with acute AAD, D-dimers tended to be higher in Stanford A than in Stanford B (8.67 ± 4.31 μg/ml vs. 3.24±1.27 μg/ml, P <0.01). D-dimer values tended to be higher in more extended disease(3.84 ± 1.65 μg/ml, 8.57 ± 3.58 μg/ml and 11.87 ± 5.69 μg/ml in thoracic aorta, thoracic and abdominal aorta, thoracic and abdominal aorta and iliacal arteries, respectively, P < 0.05 for both 8.57 ± 3.58 and 11.87 ± 5.69 vs. 3.84 ± 1.65 ). Including the control group into the analysis, we found a sensitivity of 100%, a negative predictive value of 100%, and a specificity of 66% and a positive predictive value of 64% for D-dimer in diagnosis of AAD in our patients with suspected AAD. Conclusion: D-dimer was elevated in patients with AAD. A negative D-dimer test result could be useful in excluding AAD.  相似文献   

13.
Objective: To set up a simple and reliable rat model of combined liver-kidney transplantation. Methods: SD rats served as both donors and recipients. 4℃ sodium lactate Ringer's was infused from portal veins to donated livers,and from abdominal aorta to donated kidneys, respectively. Anastomosis of the portal vein and the inferior vena cava (IVC) inferior to the right kidney between the graft and the recipient was performed by a double cuff method, then the superior hepatic vena cava with suture. A patch of donated renal artery was anastomosed to the recipient abdominal aorta. The urethra and bile duct were reconstructed with a simple inside bracket. Results: Among 65 cases of combined liver-kidney transplantation, the success rate in the late 40 cases was 77.5%. The function of the grafted liver and kidney remained normal. Conclusion: This rat model of combined liver-kidney transplantation can be established in common laboratory conditions with high success rate and meet the needs of renal transplantation experiment.  相似文献   

14.
Increasing maternal age is the only etiological factor unequivocally linked to Down's syndrome in humans. The occurrence rate of newborns with Down's syndrome is about 1/220 in women over 35 years old. However, the occurrence rate in embryos fertilized in vitro, of the elder woman is unclear. Using FISH we screened the number of chromosome 21 in preimplanted embryos of 5 elderly women (average age, 38.4 years) to study the feasibility and necessity of screening trisomy 21 in embryos in patients over 35 years old at the in vitro fertilization (IVF) center.  相似文献   

15.
Real-time three-dimensional echocardiography (RT3DE)is a new ultrasound technique that enables dynamic threedimensional visualization and quantification of the heart in real time. Investigation of feasibility and methodology of RT3DE in determining left ventricular (LV) and right ventricular (RV) volumes, RT3DE was performed in 35 normal adults using Philips SONOS 7500 system with a 2-4 MHz matrix array transducer. The 60°×60° "pyramid" volume database was obtained and analyzed on a TomTec echo workstation. Both LV and RV volumes were calculated with four 3DE methods (i.e. apical 2, 4, 8, and 16-plane) through manually tracing ventricular endocardial borders in end diastole and end systole. Stroke volumes were then calculated. LV volume was also measured by 2DE Simpson's rule using GE VIVID 7 ultrasound machine.  相似文献   

16.
A clinical guideline for the therapeutic interventions of integrative medicine may be defined as a written document which states a series of recommendations on therapeutic interventions of integrative medicine for a special disease or condition. The guideline may provide assistance to medical professionals in making clinical decisions aimed at improving the clinical outcome of patients and reducing the costs of medical care(~'4~. Recommendations issued by a guideline should be based on the best available evidence in both Western and Chinese medicine. For fulfilling this purpose, the development of clinical guidelines for therapeutic interventions in the field of integrative medicine should follow scientific principles and undergo a rigorous processes.  相似文献   

17.
Objective:To probe into the influence of changes of ovarian hormones on the pathogenesis of the specific sub-type premenstrual syndrome(PMS)and reveal partial microcosmic mechanisms of adverse flow of liver-qi.Methods:Estradiol(E2)and progesterone(P)levels in serum were determined at different phases of menstrual cycle by radioimmunoassay.Results:In the group of PMS with adverse flow of liver-qi.the secretive peak value Of E2 and P at the follicular phase significantly decreased,and the secretive peak value at the luteal phase did not come into being.Conclusions:Low E2 and P secretive peak at the follicular phase and absence of secretive peak at the luteal phase is one of the microcosmic mechanisms of PMS with adverse flow of liver-qi.One of the pathophysiologic mechanisms of specific sub-type PMS is probably the continuous low level of E2and P.  相似文献   

18.
Journal of Nanjing Medical University (English Edition) JNMU, sponsored by Nanjing Medical University, was established in 1987. It is a bimonthly comprehensive English medical journal published locally and abroad.Since 2007, Journal of Nanjing Medical University (English Edition )was granted Elsevier the full publishing and distribution rights worldwide for the Electronic Edition, excluding the People's Republic of China.  相似文献   

19.
目的:评价使用安心颗粒对急诊经皮冠状动脉介入术(PPCI)术后生活质量的影响.方法:将160例接受PPCI的急性ST段抬高型心肌梗死患者随机分为安心颗粒组(术前顿服安心颗粒8.8g,术后安心颗粒4.4 g/次,每日2次)和对照组(仅接受基础药物治疗).所有患者均服用阿司匹林、氯吡格雷和阿托伐他汀.分别在入院时、出院前1d、出院后180 d时,应用心肌梗死多维度量表(MIDAS)、中文版SF-36评价量表对患者生活质量评分.并观察术后30 d以内的出血并发症、血小板减少症发生情况.结果:入院时和出院前1d,两组患者的心肌梗死MIDAS、SF-36量表评分比较无差异(P>0.05);出院后180 d时,与对照组比较,安心颗粒组MIDAS、SF-36评分明显减低(P<0.05);组内与入院时比较,两组出院前1d、出院后180 d时,MIDAS、SF-36评分均降低(P<0.05).两组患者在随访期间均无大量出血、少量出血、重度和极重度血小板减少症发生,安心颗粒组有4例、对照组有7例发生不明显出血(P>0.05).两组发生轻度血小板减少症的患者数比较无差异(P>0.05).结论:PPCI使用安心颗粒,能改善急性ST段抬高型心肌梗死患者的生活质量,且不增加出血风险.  相似文献   

20.
Objective To measure Derpl and Blot5 allergen levels in asthmatics' homes in Hongkong.Methods Seventy houses were enrolled for a mite indoor environment study. Dust samples were obtained from two sites of each patients' house: bed and floor. Derpl and Blot5 levels were quantified by a two-site monoclonal antibody-based ELISA technique.Results The levels of Derpl allergens found in bed (geometric mean (GM) 3.43 μg/g of dust; 95%CI, 1.89-4.96 μg/g)and on the floor (GM 1.12 μg/g of dust; 95%CI, 0.71-1.53 μg/g) indicated significant differences (P=0.005). However, the levels of Blot5 allergens found in bed (GM 19.00 μg/g of dust; 95%CI, 0.89-38.90 μg/g) and on the floor (GM 6.14 μg/g of dust; 95%CI, 0.40-11.90 μg/g) showed no statistically significant difference. In addition, in regards to the exposure index for Derpl and Blot5 allergens found in bed and on the floor, 17.6% in bed and 8.6% on the floor had levels of Blot5 ≥ 10 μg/g of dust, higher than those obtained for Derp1 (7.2% and 0% in bed and on the floor respectively, P< 0.05); higher percentages in bed and on the floor (25.0% and 35.7%) were observed for levels of Blot5 =0 μg/g of dust as compared with Derpl in bed and on the floor (4.3% and 14.5% respectively, P< 0.05).Conclusions Derpl and Blot5 are the major allergens found in this regional study, Blot5 is a more potent allergen in Hongkong, probably reflecting the high level of exposure to Blomia tropicalis (Bt). Bt and Dermatophagoides pteronyssinus (Dp) allergens should be included for precise diagnosis and effective immuno-therapeutic treatment of mite allergy in Hongkong.  相似文献   

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