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目的:探讨三七通舒胶囊联合高压氧治疗后循环缺血的疗效。方法:回顾性分析2015年2月至2016年2月茂名市中医院收治的108例后循环缺血患者的临床资料,根据是否采取三七通舒胶囊联合高压氧治疗进行分组;对照组52例采取常规治疗;观察组56例在常规治疗的基础上,采取三七通舒胶囊联合高压氧治疗;综合评价两组患者的疗效,并作对比分析。结果:治疗前,两组患者基底动脉、左椎动脉、右椎动脉的平均血流速度(Vm)和收缩期峰流速(Vs)比较,差异均无统计学意义(P>0.05);治疗后,观察组患者基底动脉、左椎动脉、右椎动脉的Vm、Vs大于对照组,差异具有统计学意义(P<0.05);观察组临床总显效率为82.14%,大于对照组的57.69%,差异具有统计学意义(P<0.05)。结论:三七通舒胶囊联合高压氧治疗后循环缺血的疗效确切,可明显改善后循环的血流动力学,对于抑制神经功能缺损,改善预后均具有积极作用。
Objective: To investigate the therapeutic effect of Sanqitongshu capsule combined with hyperbaric oxygen on ischemic stroke. Methods: The clinical data of 108 patients with posterior circulation ischemia admitted from February 2015 to February 2016 in Maoming Hospital of Chinese Medicine were retrospectively analyzed. The patients were divided into groups according to whether Panax notoginseng capsule combined with hyperbaric oxygen therapy was given. In the control group, 52 patients Taking routine treatment; observation group of 56 patients on the basis of conventional treatment, to take Panax Tongtong capsule combined with hyperbaric oxygen treatment; comprehensive evaluation of the efficacy of the two groups of patients, and for comparative analysis. Results: Before treatment, there was no significant difference in mean flow velocity (Vm) and peak systolic velocity (Vs) between basilar artery, left vertebral artery and right vertebral artery in both groups after treatment . The Vm and Vs of the basilar artery, the left vertebral artery and the right vertebral artery in the observation group were significantly higher than those in the control group (P <0.05). The total clinical effective rate was 82.14% in the observation group and 57.69% in the control group, The difference was statistically significant (P <0.05). Conclusion: The effect of Sanqitongshu capsule combined with hyperbaric oxygen on post-ischemic injury is definite. It can obviously improve the hemodynamics of posterior circulation and has a positive effect on inhibiting neurological deficit and improving prognosis.