高压氧联合丹参注射液对血管性痴呆患者血液流变学、血管搏动指数、认知功能的影响

Effects of hyperbaric oxygen combined with DanshenInjection on hemorheology, pulsatility index and cognitive function in patients with vascular dementia

  • 摘要:
      目的  探讨高压氧联合丹参注射液对血管性痴呆患者血液流变学、血管搏动指数(PI)、认知功能的影响。
      方法  随机选取90例血管性痴呆患者,按照随机数表法均分为对照组与观察组。对照组给予高压氧联合常规药物治疗,观察组在对照组基础上予以丹参注射液治疗。观察2组治疗疗效、血液流变学指标水平、PI、认知功能、生活功能及定量脑电图的改善情况。
      结果  观察组临床疗效总有效率显著高于对照组(P < 0.05); 治疗后,观察组血浆黏度、全血高切黏度、红细胞聚集指数均显著低于对照组(P < 0.05); 治疗后,观察组基底动脉(BA)、椎动脉(VA)、双侧大脑前动脉(ACA)、大脑中动脉(MCA)和大脑后动脉(PCA)处PI值均显著低于对照组(P < 0.05); 治疗后,观察组简易智能状态检查量表(MMSE)评分、日常生活活动能力(ADL)评分、汉密顿抑郁量表(HAMD)评分均显著优于对照组(P < 0.05); 治疗后,观察组α频谱、θ频谱、δ频谱相对功率值均显著优于对照组(P < 0.05)。
      结论  高压氧联合丹参注射液治疗血管性痴呆患者的疗效显著,能有效改善患者血液流变学指标及PI水平,改善患者认知功能。

     

    Abstract:
      Objective  To investigate the effects of hyperbaric oxygen combined with Danshen Injection on hemorheology, pulsatility index and cognitive function in patients with vascular dementia.
      Methods  A total of 90 vascular dementia patients were divided into control group and observation group according to the random number table method. The control group was treated with hyperbaric oxygen combined with conventional drug treatment, while the observation group was treated with Danshen Injection on the basis of the control group. The therapeutic effects, hemorheological index, PI index, cognitive function, life function and quantitative electroencephalogram improvement of the two groups were observed.
      Results  The total effective rate of the observation group was significantly higher than that of the control group(P < 0.05); after treatment, the plasma viscosity, whole blood high shear viscosity and erythrocyte aggregation index in the observation group were significantly lower than those in the control group(P < 0.05); after treatment, the PI indexes of basilar artery(BA), vertebral artery(VA), anterior cerebral arteries(MCA), anterior cerebral artery(ACA), posterior cerebral artery(PCA) in the observation group were significantly lower than that in the control group(P < 0.05); after treatment, the scores of mini-mental state examination(MMSE), Activity of Daily Life (ADL) and Hamilton Depression Scale(HAMD) in the observation group were significantly better than those in the control group (P < 0.05); after treatment, the relative power value of α spectrum, θ spectrum, and δ spectrum in the observation group were significantly better than those in the control group (P < 0.05).
      Conclusion  Hyperbaric oxygen combined with Danshen Injection has significant effects for vascular dementia patients, which can effectively improve the level of hematological and PI indexes, and enhance the cognitive function.

     

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