[Effect of ultra-micronized Buyang Huanwu decoction on neurological function, quality of life, and serum vascular endothelial growth factor in patients convalescent from cerebral infarction].

Objective To study effect of Buyang Huanwu decoction (BYHWD, 补阳还五汤 ) on neurological function, quality of life, and serum vascular endothelial growth factor (VEGF) in patients convalescent from cerebral infarction, and to evaluate the effect of ultra-micronized BYHWD. Methods Two hundred and fifty-one patients met the inclusion criteria were randomly assigned to traditional BYHWD (TB) group (n= 83), ultra-micronized BYHWD (UB) group (n= 85) and the control group (n= 83)for patients in the TB and UB groups, traditional BYHWD (15 g, twice a day) or ultra-micronized BYHWD (5 g, twice a day) was given respectively, for a course of 12 weeks. Clinical curative effect and curative effect of syndrome according to traditional Chinese medicine (TCM) were evaluated. Nerve function and quality of life in patients were evaluated, serum VEGF was determined before and after treatment. The level of VEGF in 23 healthy volunteers was also determined to serve as normal control. Results The total effective rate was 83. 5%, 85.5% and 77. 1% in UB group, TB group and the control group, respectively, and the total symptomatic effective rate in TCM was 87. 0%, 89.2 % and 77. 1%, respectively. Compared with the control group, there was significant difference in UB or TB group (all P＜0. 05), but there was no significant difference between UB and TB groups (both P＞0. 05). Serum VEGF levels (ng/L) were significantly lower before treatment in control group, TB group and UB group than those in normal control group (79.87 ±2. 81, 80. 19±3. 23, 80. 23±3.18 vs. 68. 13±3.39, all P＜0. 05). Neurologic deficit score (NDS), quality of life and serum VEGF were improved after treatment in three groups, but they were better in UB or TB group than the control group [NDS: 11.95 ± 5.03, 12. 68± 4.67 vs. 15.23 ± 5. 12, quality of life score:64.71±6.73, 63.56±6.53 vs. 59.09±6.81, serum VEGF (ng/L): 76.38±3.02, 76.84±3.18 vs.70. 26±3. 15, all P＜0. 05], but there was no significant difference between UB and TB groups (all P＞0. 05). Conclusion BYHWD can improve neurological function and quality of life, and increase serum VEGF in patients convalescent from cerebral infarction, and ultra-micronized BYHWD, the dosage can be decreased. Key words: Buyang Huanwu decoction; Cerebral infarction; Neurologic deficit score; Quality of life; Vascular endothelial growth factor; Ultra-micronized ingredient