首页|注射用丹参多酚酸联合依达拉奉对老年急性脑梗死患者神经功能、血清炎症因子及预后的影响

注射用丹参多酚酸联合依达拉奉对老年急性脑梗死患者神经功能、血清炎症因子及预后的影响

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目的 探究注射用丹参多酚酸联合依达拉奉对老年急性脑梗死(ACI)患者神经功能、血清炎症因子及预后的影响.方法 选择 2022 年 4 月—2023 年 8月济南市中西医结合医院老年病科收治的 80 例老年ACI患者为研究对象,以随机数字表法将其分为对照组与观察组,各 40 例.对照组采用依达拉奉治疗,观察组采用注射用丹参多酚酸联合依达拉奉治疗,两组均持续治疗 2周.比较两组患者的临床疗效、血清炎症因子、神经功能、日常生活活动能力、预后及不良反应发生情况.结果 观察组治疗总有效率为 95.00%,高于对照组的 77.50%,预后良好率为 77.50%,高于对照组的 50.50%,组间差异有统计学意义(P<0.05).治疗后,观察组C-反应蛋白、白细胞介素-6 及血沉水平均低于对照组,组间差异有统计学意义(P<0.05);观察组美国国立卫生研究院脑卒中量表评分低于对照组,日常生活活动能力量表评分高于对照组,组间差异有统计学意义(P<0.05).两组不良反应发生率比较,差异无统计学意义(P>0.05).结论 注射用丹参多酚酸联合依达拉奉治疗老年ACI患者的效果显著,可调节血清炎症因子水平,恢复患者神经功能,使其日常生活活动能力得到提高,同时用药安全可得到保证.
Effects of Salvianolic Acid Injection Combined with Edaravone on Neurological Function,Serum Inflammatory Factors and Prognosis in Elderly Patients with Acute Cerebral Infarction
Objective To investigate the effects of salvianolic acid injection combined with edaravone on neurological function,serum inflammatory factors,and prognosis in elderly patients with acute cerebral infarction(ACI).Methods Eighty elderly ACI patients admitted to the Geriatrics Department of Jinan Hospital of Integrated Traditional Chinese and Western Medicine from April 2022 to August 2023 were selected as the research objects,and were divided into a control group and an observation group by random number table method,with 40 cases in each group.The control group was treated with edaravone,and the observation group was treated with salvianolic acid injection combined with Edaravone.The two groups were treated continuously for 2 weeks.The clinical efficacy,serum inflammatory factors,neurological function,activities of daily living,prognosis and occurrence of adverse reactions were compared between the two groups.Results The total effective rate of the observation group was 95.00%,which was higher than 77.50%of the control group,and the good prognosis rate was 77.50%,which was higher than 50.50%of the control group,with statistical significance(P<0.05).After treatment,the levels of C-reactive protein,interleukin-6 and erythrocyte sedimentation rate in observation group were lower than those in control group,and the differences were statistically significant(P<0.05);the National Institutes of Health Stroke Scale score of the observation group was lower than that of the control group,and the Activity of Daily Living scale score was higher than that of the control group,with statistical significance(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion The combination of salvianolic acid injection and edaravone has a significant effect on the treatment of elderly ACI patients.It can regulate the levels of serum inflammatory factors,restore the patient's neurological function,improve their daily living activities,and ensure medication safety.

Acute cerebral infarctionAgedSalvianolic acid injectionEdaravoneNeurological functionSerum inflammatory factors

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济南市中西医结合医院老年病科,山东济南 271199

急性脑梗死 老年 注射用丹参多酚酸 依达拉奉 神经功能 血清炎症因子

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(8)