首页|阿司匹林与丁苯酞软胶囊联合治疗对缺血性脑卒中患者血流动力学指标、神经功能的影响

阿司匹林与丁苯酞软胶囊联合治疗对缺血性脑卒中患者血流动力学指标、神经功能的影响

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目的 探讨阿司匹林联合丁苯酞胶囊治疗对缺血性脑卒中(CIS)患者的影响.方法 选择2021年8月—2023 年 10 月滨州市第二人民医院收治的 92 例CIS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,各 46 例.对照组采用阿司匹林肠溶片治疗,观察组在对照组基础上采用丁苯酞胶囊治疗.比较两组的临床疗效、神经功能、血流动力学指标及不良反应发生情况.结果 观察组的治疗总有效率为 93.48%,高于对照组的78.26%,差异有统计学意义(P<0.05).治疗后,两组美国国立卫生研究所卒中量表评分均较治疗前降低,且观察组低于对照组,差异有统计学意义(P<0.05);两组大脑动脉血流平均流速、最大峰值流速均较治疗前增快,且观察组均快于对照组,两组血管阻力指数水平均较治疗前降低,且观察组低于对照组,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 在CIS患者中使用阿司匹林结合丁苯酞胶囊,可增强疗效,提高神经功能,有效调节血流动力学,且用药安全性高.
Effects of Combination Therapy of Aspirin and Butadiphthalein Softgel on Hemodynamic Indexes and Neurological Function in Patients with Ischemic Stroke
Objective To investigate the effect of aspirin combined with butadiphthalein capsule on patients with ischemic stroke(CIS).Methods Ninety-two CIS patients admitted to the Second People's Hospital of Binzhou City from August 2021 to October 2023 were selected as the research objects,and were divided into a control group and an observation group according to random number table method,with 46 cases in each group.The control group was treated with aspirin enteric-coated tablets,and the observation group was treated with butylphthalein capsule on the basis of the control group.The clinical efficacy,neurological function,hemodynamic indexes and the occurrence of adverse reactions were compared between the two groups.Results The total effective rate of observation group was 93.48%,which was higher than 78.26%of the control group,the difference was statistically significant(P<0.05).After treatment,the score of the National Institutes of Health Stroke Scale in both groups were lower than those before treatment,and the observation group was lower than that in the control group,the difference was statistically significant(P<0.05);the average cerebral artery flow velocity and maximum peak flow velocity in both groups were faster than those before treatment,and the observation group were faster than those of the control group,and the vascular resistance index in both groups were lower than those before treatment,and the observation group was lower than that in the control group,the differences were statistically significant(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion The use of aspirin combined with butylphthalein capsule in CIS patients can enhance the therapeutic effect,improve nerve function,effectively regulate hemodynamics,and have high drug safety.

Ischemic strokeAspirinButylphthaleinHemodynamic indexesNeurological function

王守美

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滨州市第二人民医院神经内科,山东滨州 256800

缺血性脑卒中 阿司匹林 丁苯酞 血流动力学指标 神经功能

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(11)