首页|依达拉奉右莰醇与丁苯酞联合治疗急性脑梗死的效果及对患者神经功能、氧化应激指标的影响

依达拉奉右莰醇与丁苯酞联合治疗急性脑梗死的效果及对患者神经功能、氧化应激指标的影响

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目的 探讨依达拉奉右莰醇、丁苯酞联合治疗对于急性脑梗死(ACI)患者的影响.方法 选取梁山县人民医院2022年7月—2023年2月收治的 82例ACI患者为研究对象,按随机数字表法将其分为对照组和观察组,每组41例.对照组采取丁苯酞治疗,观察组在对照组基础上采用依达拉奉右莰醇.对比两组的临床疗效、神经功能、脑血流动力学指标、氧化应激指标、不良反应发生率.结果 治疗后,观察组治疗总有效率高于对照组,差异有统计学意义(P<0.05).治疗后,观察组美国国立卫生研究院卒中量表评分、丙二醛均低于对照组,最小血流速度、最小血流量、超氧化物歧化酶、总抗氧化能力均高于对照组,组间差异有统计学意义(P<0.05).两组不良反应发生率对比,差异无统计学意义(P>0.05).结论 采用达拉奉右莰醇、丁苯酞联合治疗ACI,能增强治疗效果,加速恢复其神经功能,并可明显调节脑血流动力学及氧化应激指标,且具有良好的安全性.
The Therapeutic Effect of the Combination of Edaravone Dexborneol and Butylphthalide in the Treatment of Acute Cerebral Infarction and Its Impact on Neurological Function and Oxidative Stress Indicators in Patients
Objective To explore the effect of the combination therapy of edaravone dexborneol and Butylphthalein on patients with acute cerebral infarction(ACI).Methods 82 ACI patients admitted to Liangshan County People's Hospital from July 2022 to February 2023 were selected as the research subjects,divided into a control group and an observation group using a random number table method,with 41 cases in each group.The control group received treatment with butylphthalide,the observation group received edaravone dexborneol on the basis of the control group.The clinical efficacy,neurological function,cerebral hemodynamic indicators,oxidative stress indicators,and incidence of adverse reactions between two groups were compared.Results After treatment,the total effective rate of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).After treatment,the National Institutes of Health Stroke Scale scores,malondialdehyde in the observation group were lower than those in the control group,while the minimum blood flow velocity,minimum blood flow,superoxide dismutase,total antioxidand capacity in the observation group were higher than those in the control group,the differences between groups were statistically significant(P<0.05).There was no statical significance of adverse reactions between two groups(P>0.05).Conclusion The use of a combination of edaravone dexborneol and butylphthalide can enhance the therapeutic effect of ACI,accelerate the recovery of its neurological function,and significantly regulate cerebral hemodynamics and oxidative stress indicators,with good safety.

Acute cerebral infarctionEdaravone dexborneolButylphthalideClinical efficacyNeurological functionOxidative stress indicators

黄登学

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梁山县人民医院神经内科,山东济宁 272600

急性脑梗死 依达拉奉右莰醇 丁苯酞 临床疗效 神经功能 氧化应激指标

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(3)
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