糖脑络通联合低能量氦氖激光血管内照射对糖尿病脑梗死患者血流变..doc

糖脑络通联合低能量氦氖激光血管内照射对糖尿病脑梗死患者血流变及内皮素的影响        [11-05-0609:31:00]    编辑:studa20              作者:王波,何珂,魏海峰,刘喜明,倪青,林兰 【摘要】 目的观察中药糖脑络通联合低能量氦氖激光血管内照射治疗对糖尿病脑梗死患者血液流变学指标及内皮素水平的影响。方法将确诊为糖尿病并脑梗死、中医辨证属气阴两虚兼夹血瘀型的90例患者随机分为3个治疗组:激光组、中药组(糖脑络通)和激光+中药组,观察治疗1个月后血液流变学、内皮素的变化。结果治疗后,激光+中药组能显著降低血中内皮素、纤维蛋白原水平,提高红细胞变形能力,疗效优于激光组和中药组。结论糖脑络通联合低能量氦氖激光血管内照射能明显改善糖尿病并脑梗死患者的血液流变学和内皮素水平,从而更好达到治疗目的。【关键词】 糖脑络通;低能量氦氖激光血管内照射;糖尿病;脑梗死;血液流变学;内皮素   Abstract:ObjectiveToobservetheeffectonthepatientsofdiabetesmellitusandcerebralinfarctionintermsoflevelofbloodrheologyandendothelinafterusingbothintravenouslowintensitylaserirradiation(ILILI),havingthesymptomofdeficiencyinbothvitalenergyandyinwithbloodstasis,weredividedintothreetreatmentgroupsatrandom:ILILIgroup(A),TCMtreatmentgroup(B),poundtreatmentofILILIandTCM(C).Thelevelofbloodrheologyandendothelinwereobservedafter1month’,ouldsignificantlyreducetheleveloffibrinogenandendothelin,,whichresultinabettercurativeeffect.    Keywords:Tangnaoluotong;intravascularlowintensitylaserirradiation;diabetesmellitus;cerebralinfarction;bloodrheology;endothelin  糖尿病脑梗死患者多处于血流变高凝血状态,血管收缩状态有所改变[1-2]。此类患者脑梗死区内凝血酶的浓度增高,刺激内