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目的观察消斑汤(自拟)联合阿托伐他汀治疗老年人颈动脉粥样硬化斑块(CAAP)及逆转颈动脉内-中膜厚度(IMT)的临床效果。方法确诊的90例患者随机分为西药组、中药组与中西结合组各30例,西药组口服阿托伐他汀20mg/n;中药组口服消斑汤,1剂/d;中西结合组口服消斑汤1剂/d,阿托伐他汀20mg/n。三组均以3个月为1疗程,治疗2个疗程。结果三组患者的颈动脉粥样硬化斑块(CAAP),逆转颈动脉内-中膜厚度(IMT),血脂代谢较治疗前均有不同程度的改善,并且中西医结合组的疗效明显优于中药组和西药组。结论中西结合治疗老年人颈动脉粥样硬化斑块(CAAP)及逆转颈动脉内-中膜厚度(IMT)的疗效优于单纯使用西药组或中药组治疗。
Objective To observe the clinical effect of Xiaoban Soup (self) combined with atorvastatin in the treatment of carotid atherosclerosis plaque (CAAP) and carotid intima - media thickness (IMT) in the elderly. Ninety patients diagnosed by the method were randomly divided into western medicine group, traditional Chinese medicine group and the combination of Chinese and western medicine group 30 cases, western medicine group oral atorvastatin 20mg / n; Chinese medicine group oral Xiaoban Tang, 1 / d; Spot 1 / d, atorvastatin 20mg / n. Three groups were 3 months for a course of treatment, treatment of 2 courses. Results The carotid atherosclerotic plaque (CAAP), IMT and lipid metabolism in all three groups were improved to some extent compared with those before treatment, and the efficacy of the combination of traditional Chinese and western medicine was significantly better than that of the traditional Chinese medicine combined with western medicine Chinese medicine group and Western medicine group. Conclusion The treatment of carotid atherosclerosis plaque (CAAP) and carotid intima-media thickness (IMT) in the elderly is better than western medicine or traditional Chinese medicine alone.