安徽医专学报2024,Vol.23Issue(1) :29-31.DOI:10.20072/j.cnki.issn2097-0196.2024.01.010

丁苯酞注射液对急性脑梗死rt-PA静脉溶栓患者的应用研究

Application of butylphthalein injection to rt-PA intravenous thrombolysis in patients with acute cerebral infarction

袁俊
安徽医专学报2024,Vol.23Issue(1) :29-31.DOI:10.20072/j.cnki.issn2097-0196.2024.01.010

丁苯酞注射液对急性脑梗死rt-PA静脉溶栓患者的应用研究

Application of butylphthalein injection to rt-PA intravenous thrombolysis in patients with acute cerebral infarction

袁俊1
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作者信息

  • 1. 江西省上高县人民医院 江西上高 336400
  • 折叠

摘要

目的:探讨丁苯酞注射液对急性脑梗死重组人组织型纤溶酶原激活物(rt-PA)静脉溶栓患者炎性反应及血管内皮功能的影响.方法:纳入医院收治的60例急性脑梗死患者作为研究对象,随机分作予以rt-PA静脉溶栓治疗的对照组以及辅以丁苯酞注射液治疗的观察组,比较两组神经功能、炎性反应、血管内皮功能及安全性.结果:经治疗后,两组患者NIHSS、NSE均有降低,观察组患者低于对照组(P<0.05);两组患者hs-CRP、sICAM-1均见下降,观察组患者低于对照组(P<0.05);两组患者ET-1、MDA均见下降,观察组患者低于对照组(P<0.05);两组患者不良反应发生率比较,差异无统计学意义(P>0.05).结论:丁苯酞注射液治疗急性脑梗死rt-PA静脉溶栓患者,可以促进其神经功能恢复,减轻炎性反应,增强血管内皮功能,且不增加不良反应发生风险,具有较高安全性.

Abstract

Objective:To explore the effects of butylphthalide injection on inflammatory response and endothelial function in patients with acute cerebral infarction treated with recombinant human tissue plasminogen activator (rt PA) intravenous thrombolysis.Method:Sixty patients with acute cerebral infarction admitted to hospital were randomly divided into a control group treated with rt PA intravenous thrombolysis and an observation group treated with butylphthalide injection. The neurological function, inflammatory response, vascular endothelial function, and safety of the two groups were compared.Result:After treatment, both groups showed a decrease in NIHSS and NSE, with the observation group being lower than the control group (P<0.05); Both groups of hs CRP and sICAM-1 showed a decrease, with the observation group being lower than the control group (P<0.05); Both groups showed a decrease in ET-1 and MDA, with the observation group being lower than the control group (P<0.05); There was no statistically significant difference in the incidence of adverse reactions between the two groups (P>0.05). Conclusion:The treatment with butylphthalide injection is helpful for the recovery of neurological function, reduction of inflammatory reactions, enhancement of endothelial function in patients with acute cerebral infarction undergoing rt PA intravenous thrombolysis, and does not increase the risk of adverse reactions. It has high safety.

关键词

急性脑梗死/静脉溶栓/支架取栓/神经功能

Key words

acute cerebral infarction/intravenous thrombolysis/remove the bolt from the bracket/neurological function

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基金项目

江西省卫生健康委科技项目(202112265)

出版年

2024
安徽医专学报
安徽医学高等专科学校

安徽医专学报

影响因子:0.441
ISSN:2097-0196
参考文献量10
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